| convenio | data_pagamento | numero_protocolo | matricula | nome | numero_guia | ng_prest | senha_guia | codigo_produto | descricao_produto | valor_apresentado | valor_pago | valor_glosa | descricao_motivo | codigo_motivo |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.1484 | 0.1316 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3000 | 0.1590 | 0.1410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6926 | 0.3374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6926 | 0.3374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7490 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0857 | 0.3643 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0856 | 0.3644 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1793 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0800 | 0.6630 | 0.4170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.6000 | 1.5960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0480 | 0.1420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0480 | 0.1420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1256 | 0.0544 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5800 | 0.4049 | 0.1751 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2501 | 0.0799 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2491 | 0.0809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2491 | 0.0809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2491 | 0.0809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1071 | 0.2129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1067 | 0.2133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6691 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00069 | SERINGA DESC 10 ML UN | 1.3300 | 1.3276 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1870 | 0.3230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6189 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00493 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.8693 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 02177 | TENOXICAM 20 MG + DIL. 2 ML PO IM IV FA | 14.3300 | 14.3258 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 02177 | TENOXICAM 20 MG + DIL. 2 ML PO IM IV FA | 14.3300 | 14.3258 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c6ef9b3a938dcace584e8507498ac36c | ANA | NULL | NULL | 12018723531 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 16.3969 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062513339 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 8541c7edf7a4ed32f7b1b5c6024d71b7 | MARIA | NULL | NULL | 12057442512 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | e66cafd7d15fff38ae7b3434d5e8fcb2 | HAMANDA | NULL | NULL | 12016945011 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | ee1315b9f8072a0a4d2a61a6444eb052 | MARIA | NULL | NULL | 12065485612 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5bbb182eb9e8c14e2f1be6ac927821ce | FLORIVANDA | NULL | NULL | 12045450610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12043848919 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | a928a0e5dfe9a728254d0d5e9dcbf1d0 | BERTOLINA | NULL | NULL | 12030448230 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986625237 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 01775 | ATADURA CREPOM 30 CM UN | 0.0000 | 14.8084 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 10.5556 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d9eea4d8c42803b7877cc1c4d032a11c | DIOGENES | NULL | NULL | 12022270236 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065606932 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065606932 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1724a383dc1c66dfc1809fe7b88627b7 | NARA | NULL | NULL | 12018672933 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11981598235 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 31828 | PREDNISONA 20 MG CP VO UN | 0.0000 | 1.4960 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12048861430 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12048861430 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3093 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 34010068 | TOMOGRAFIA COMPUTADORIZADA DE CRANI | 0.0000 | 208.0025 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 19.5772 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12048861430 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 31.1286 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 84807423c261a8d5380ea1f938c3fe72 | LUIZ | NULL | NULL | 12047211440 | 52710 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI | 0.0000 | 129.8467 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978377635 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 19.5772 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 17906 | PROTAMINA 1000 UI/ML 5 ML SI IV AP | 0.0000 | 16.3392 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 05444 | CLORETO DE POTASSIO 15% 10 ML SI I | 0.0000 | 1.0293 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.3952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 0.0000 | 7.8894 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 17892 | NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I | 0.0000 | 0.7669 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00563 | ATROPINA 0,50 MG SI IV AP | 2.6000 | 2.5990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 0.7573 | 6.0627 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.3791 | 3.0309 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2310 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.8400 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 1.2460 | 0.2540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11969054546 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b52362d3a610c4e0534f4432889d949f | ROSICLER | NULL | NULL | 12000231948 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0150 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 03905 | CATETER BALAO PARA ANGIOPLASTIA PER | 0.0000 | 1000.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 34622 | ATORVASTATINA CALCICA 20 MG CP VO | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 38210 | FIO ETHIBOND 5.0 C/ AGULHA 1,5 B550 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 1.2800 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 29785 | EXTENSOR DE BOMBA UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 55425 | AGULHA P/ RAQUI 27GX3,5 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c55205bb9a3e9b1f061210722cf70abd | DIVINA | NULL | NULL | 12056840749 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 24546 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 | 0.0000 | 40.1468 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 159.6660 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 14664 | NALOXONA 0,4 MG/ML 1 ML SI IM IV S | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 4.7345 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 1.1900 | 1.1868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.3330 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.3330 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.5617 | 0.0583 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.5617 | 0.0583 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.5617 | 0.0583 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 13.6286 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 17252 | LIDOCAINA 2% GE OU TP GR | 7.7800 | 1.6670 | 6.1130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 97.1100 | 88.2916 | 8.8184 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 79.2700 | 72.0717 | 7.1983 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 39.6400 | 36.0403 | 3.5997 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 6.3554 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 11.8766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 33359 | TRAMADOL 100 MG 2 ML SI IM IV AP | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1781 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 16.2600 | 16.2549 | 0.0051 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6280 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2796 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2796 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 0.0000 | 1.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 0.0000 | 1.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0070 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 10.2150 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.2800 | 0.2840 | 0.9960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1160 | 0.3940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.3071 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4700 | 0.4697 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.6000 | 0.5300 | 1.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 01491 | FENITOINA 100 MG CP VO UN | 0.0000 | 1.1220 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.4840 | 0.1160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.2000 | 0.1620 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2820 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2695 | 0.2405 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1374 | 0.1226 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 54678 | LANTUS | 0.5500 | 0.5100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1760 | 0.4940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51197 | ANLODIPINA 5 MG CP VO UN | 0.3800 | 0.1900 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2400 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9400 | 1.7407 | 0.1993 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9400 | 1.7407 | 0.1993 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.4197 | 0.2803 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.4200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065606932 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fc8deaa91dafa558065663b93ad4265b | ELEUS | NULL | NULL | 11978431936 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fc8deaa91dafa558065663b93ad4265b | ELEUS | NULL | NULL | 11978431936 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fc8deaa91dafa558065663b93ad4265b | ELEUS | NULL | NULL | 11978431936 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8950 | 2.8950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f503e49355bb39c8e379397546306926 | ANA | NULL | NULL | 12045252444 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 000501 | OXIGENIO | 8.9200 | 7.1550 | 1.7650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5800 | 0.5721 | 0.0079 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.7980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.7980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5814 | 0.2286 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5814 | 0.2286 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7700 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 27.0600 | 21.0470 | 6.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 42.1013 | 12.0287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7639 | 0.1661 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7639 | 0.1661 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7639 | 0.1661 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041625235 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 19.5772 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006835339 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 12750 | LAMINA BISTURI N 10, 11,12 E 15 UN | 0.0000 | 0.5074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12025233835 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00434 | AGUA BIDESTILADA 1000 ML SI IM IV | 0.0000 | 8.8994 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 2.9000 | 1.6083 | 1.2917 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5170 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.9080 | 0.6820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.9076 | 0.6824 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 7.8900 | 4.5542 | 3.3358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4870 | 0.1130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2160 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.9222 | 0.5278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.9222 | 0.5278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3090 | 0.2010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8530 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8530 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1900 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3977 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9850 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1600 | 9.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00480 | PROTAMINA 1000 UI/ML 5 ML SI IV AP | 10.8900 | 4.6677 | 6.2223 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2550 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.6400 | 0.3203 | 0.3197 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.0300 | 1.0176 | 0.0124 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7300 | 1.3013 | 0.4287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5300 | 0.2713 | 0.2587 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3430 | 0.1070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.6630 | 0.2370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.0200 | 0.9152 | 0.1048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0900 | 0.0300 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51197 | ANLODIPINA 5 MG CP VO UN | 0.3800 | 0.1900 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.2500 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0230 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2320 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 54678 | LANTUS | 0.4000 | 0.3800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 32050038 | RX Tórax: P. A. | 15.7500 | 7.8770 | 7.8730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2820 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5700 | 0.2000 | 0.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5700 | 0.1900 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7115 | 0.2885 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9700 | 0.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1130 | 0.3970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.1710 | 0.5990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8097 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5498 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.3070 | 2.4830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2796 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2190 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4160 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 17892 | NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I | 0.0000 | 0.7669 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 0.0000 | 37.9856 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 110.9800 | 100.9021 | 10.0779 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 17252 | LIDOCAINA 2% GE OU TP GR | 7.7800 | 1.6670 | 6.1130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 13.6286 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3856 | 0.0144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3856 | 0.0144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3856 | 0.0144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3856 | 0.0144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.3330 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 25.7400 | 25.7357 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 13749 | MARCAPASSO CARDIACO MULTIPROGRAM. C | 0.0000 | 4324.3398 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065583810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | b85b98069437a0197b35382d8a4fa2ab | LUZIARIO | NULL | NULL | 12041256810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041802311 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 2a2c74f7cfa78b15dfb278de7e52e681 | ALESSANDRA | NULL | NULL | 12063984810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3c14f9ba98ed821ca7f905caf5bb28c7 | SUELY | NULL | NULL | 12020712811 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | b4215705e804b8acf7dc23b8eae7bbfb | JOSE | NULL | NULL | 12061893313 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 33839 | AZITROMICINA 500 MG CP VO UN | 0.0000 | 2.9780 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 33839 | AZITROMICINA 500 MG CP VO UN | 0.0000 | 2.9780 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.2500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.6100 | 0.4800 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 20010141 | Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores | 137.7500 | 91.8300 | 45.9200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 0.9490 | 1.4510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 3.6276 | 1.7385 | 0.7715 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.9200 | 0.9172 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 20010141 | Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores | 137.7500 | 91.8400 | 45.9100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 1.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5170 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010825428 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | fe59d59ffbe450357d0892baa454996b | WANDEIR | NULL | NULL | 12007135620 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 12011303428 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 6ad4a9ab4dc89538f55ce6498413ed60 | ALEXANDRE | NULL | NULL | 12001776923 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00826 | TRANSAMIN (ACIDO TRANEXAMICO) 50 MG/ML 5 ML SI I | 17.5400 | 17.5392 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 1.7309 | 0.9934 | 0.1166 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 2.0309 | 1.3659 | 0.0441 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 6720419d56ac643545ccf13e6b37472e | MARIA | NULL | NULL | 11990226829 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 5ea6a6002c8e83f6d421220320b9a7dd | MARLENE | NULL | NULL | 11996585420 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12058229229 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 76c395111a1dd6cd69e8903e23284f13 | PAULO | NULL | NULL | 12041679020 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 18bff2e20be5bf25c102efb75070e03a | SEBASTIAO | NULL | NULL | 11994277020 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8052 | 0.6448 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 4.6960 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12025233835 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2360 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 1.9653 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.7080 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12024167136 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 14.3970 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 33936 | CEFTRIAXONA IV 1G + DIL. 10 ML PO | 0.0000 | 54.1292 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7639 | 0.1661 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7639 | 0.1661 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 42.1013 | 12.0287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1600 | 1.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7700 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1266 | 0.3234 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1830 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f503e49355bb39c8e379397546306926 | ANA | NULL | NULL | 12045252444 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f503e49355bb39c8e379397546306926 | ANA | NULL | NULL | 12045252444 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00090 | SERINGA DESC 20 ML UN | 5.3800 | 5.3700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 4.4300 | 3.4500 | 0.9800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00348 | DIPIRONA 500 MG CP VO UN | 0.2700 | 0.2690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fc8deaa91dafa558065663b93ad4265b | ELEUS | NULL | NULL | 11978431936 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065606932 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 3.1768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 23280 | FIO POLYCOT 2.0 S/ AGULHA SPA44T UN | 0.0000 | 5.0976 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 0.0000 | 7.8894 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 6.3554 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00434 | AGUA BIDESTILADA 1000 ML SI IM IV | 0.0000 | 8.8994 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 2.8794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 2.1896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.7900 | 0.6520 | 1.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3489 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1067 | 0.2133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1067 | 0.2133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2491 | 0.0809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3300 | 0.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad2301bbf91fe6897e1b80657cb18e9d | DALVA | NULL | NULL | 11904301446 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7510 | 0.2490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 01583 | NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP | 1.5300 | 0.0000 | 1.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.1000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7479 | 0.2121 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2900 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 000501 | OXIGENIO | 5.9500 | 4.3390 | 1.6110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.5900 | 0.5850 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7300 | 1.3013 | 0.4287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7300 | 1.3013 | 0.4287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1830 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5200 | 0.2835 | 0.2365 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6731 | 0.3269 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.1484 | 0.1316 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8600 | 1.9300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2166 | 0.0534 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 12.3900 | 4.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 12.4000 | 4.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1261 | 0.1339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1261 | 0.1339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8300 | 0.5100 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.4300 | 0.2700 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8580 | 1.9320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1408 | 0.5892 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6510 | 0.1590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6510 | 0.1590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.8200 | 1.4860 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 19401 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 26083 | Prolopa 50/200mg Cp. | 2.1200 | 2.1100 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 24554 | FIO VICRYL 3-0 C/ AGULHA 2,0 3/8 J | 0.0000 | 23.1094 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986625237 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4066 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 11be0d797e40b0f93e0476dc5176a27c | IZAURA | NULL | NULL | 12041883516 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | aa7a19d4d4b33ebfc26a93badc243b4b | HUGO | NULL | NULL | 12049192415 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1426 | 0.5874 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1426 | 0.5874 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7435 | 0.0665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.3610 | 0.2390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3666 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7770 | 0.2230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2552 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4654 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51470 | BICARBONATO DE SODIO 8,4% 250 ML SI IV FR | 38.1100 | 19.0560 | 19.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5988 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 38.7380 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 4.6900 | 4.6650 | 0.0250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.4500 | 0.2700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.4500 | 0.2700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 55921 | CISATRACURIO 20 MG 10 ML SI IV FR | 0.0000 | 117.6760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0256 | 0.0244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 21865 | ACIDO TRANEXAMICO 50 MG/ML 5 ML SI | 0.0000 | 17.5396 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 53349 | CORDA GUIA 0,14 CONVENCIONAL | 200.0000 | 100.0000 | 100.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 07181 | AAS (ACIDO ACETILSALICILICO) 100 MG CP VO | 0.1400 | 0.1000 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.3900 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.3900 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4000 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6994 | 0.8506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6996 | 0.8504 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2200 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 000435 | TAXA DE RESPIRADOR A VOLUME (MAI) | 62.6000 | 48.6915 | 13.9085 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 6.6470 | 1.1130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.2185 | 0.3715 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.1700 | 1.1630 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51241 | AGULHA 123X45 | 0.7700 | 0.0000 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5894 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3540 | 0.1760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4030 | 0.3670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2660 | 0.2440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2660 | 0.2440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2660 | 0.2440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1720 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1720 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1720 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4100 | 0.3300 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 9e86e6c870481e61d9ca899747a0ca15 | FRANCISCO | NULL | NULL | 12007180519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12018431519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51241 | AGULHA 123X45 | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51241 | AGULHA 123X45 | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 16031 | CISATRACURIO 10 MG 5 ML SI IV AP | 150.6700 | 94.1660 | 56.5040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.6815 | 1.0485 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 5.8139 | 1.0061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.7494 | 0.2506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5600 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.5780 | 0.1920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4570 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8730 | 0.1270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8730 | 0.1270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5500 | 0.4014 | 0.1486 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1970 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1625 | 0.1275 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.7000 | 0.0595 | 0.6405 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.3600 | 0.0310 | 0.3290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1559 | 0.1341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1559 | 0.1341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 0.6471 | 0.6329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2578 | 0.2522 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0340 | 0.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1500 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5071 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2585 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2585 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 0.0000 | 3.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1788 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.0200 | 0.0000 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54678 | LANTUS | 0.3500 | 0.3200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54678 | LANTUS | 0.2500 | 0.2300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4285 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 20.4500 | 18.6137 | 1.8363 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1760 | 0.0840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3010 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3010 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.4197 | 0.2803 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.2179 | 0.3721 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.2295 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6098 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 22.9260 | 1.6340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 22.9260 | 1.6340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 21.3900 | 1.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 21.3900 | 1.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 21.3900 | 1.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 11.4600 | 10.7000 | 0.7600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 11.4600 | 10.7000 | 0.7600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2430 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7565 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 16.2600 | 16.2568 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 16.2600 | 16.2568 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8876 | 0.0724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 5.4130 | 4.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.7030 | 2.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3560 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4094 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.1880 | 0.5820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.1880 | 0.5820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2775 | 0.0525 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4200 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4200 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.2644 | 0.1156 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1322 | 0.0578 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1322 | 0.0578 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1573 | 0.0327 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51378 | SERINGA DESC 03 ML UN | 1.2000 | 0.1300 | 1.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.0125 | 0.5775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 15.2800 | 7.6400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 38.4800 | 38.4764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 31488 | PARACETAMOL 750 MG CP VO UN | 0.9100 | 0.9050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 07761 | CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA | 176.7300 | 176.7288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7688 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 0.6562 | 0.4338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01004 | FUROSEMIDA 40 MG CP VO UN | 0.2700 | 0.2200 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01004 | FUROSEMIDA 40 MG CP VO UN | 0.2700 | 0.2300 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2800 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 5.9817 | 0.8383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9820 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9820 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9820 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7240 | 0.7260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 1.1550 | 0.3850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 0.3980 | 1.3920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9384 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.8429 | 0.7671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1874 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7542 | 0.0058 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3800 | 0.1400 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3800 | 0.1400 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.1300 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.9580 | 0.6520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.9580 | 0.6520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3210 | 0.2190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3800 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8550 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1450 | 0.1150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7480 | 0.2520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9397 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9398 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8765 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.0200 | 0.3400 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2280 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2761 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 09733 | ACETILCISTEINA 600MG PO VO SA | 10.4900 | 10.4850 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 07277 | DIPIRONA 500 MG CP VO UN | 0.0000 | 0.8160 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061972838 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061972838 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062513339 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062513339 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1724a383dc1c66dfc1809fe7b88627b7 | NARA | NULL | NULL | 12018672933 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11981598235 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 7.7768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 5.8390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12048861430 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 7.7768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 02534 | BICARBONATO DE SODIO 8,4% 10 ML SI | 0.0000 | 7.1568 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 32190 | CLORETO DE POTASSIO 10% 10 ML SI I | 0.0000 | 1.1868 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c6ef9b3a938dcace584e8507498ac36c | ANA | NULL | NULL | 12018723531 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4048 | 0.4052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2003 | 0.1997 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 0.7573 | 6.0627 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.3786 | 3.0314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.9240 | 0.2760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.1600 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2188 | 0.1812 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2189 | 0.1811 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00434 | AGUA BIDESTILADA 1000 ML SI IM IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 32020066 | COLUNA LOMBO SACRA | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 31135 | HIDROCLOROTIAZIDA 25 MG CP VO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 21792 | TORNEIRINHA DE 3 VIAS DESCARTAVEL U | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 38210 | FIO ETHIBOND 5.0 C/ AGULHA 1,5 B550 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 07587 | DRAMIN B6 DL (DIMENIDRINATO + PIRID | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 07900 | ETILEFRINA 10 MG/ML 1 ML SI IM IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.5000 | 0.3885 | 0.1115 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0500 | 0.0498 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 8.1300 | 8.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.4900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 000501 | OXIGENIO | 2.9700 | 1.7060 | 1.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.0598 | 0.0702 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5400 | 0.4410 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4160 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6994 | 0.8506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1068 | 0.2132 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00031 | AGULHA DESC 13 X 45 UN | 0.5800 | 0.1592 | 0.4208 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0521 | 0.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.2185 | 0.3715 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51241 | AGULHA 123X45 | 0.5700 | 0.0000 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.8698 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 2.6389 | 2.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4250 | 0.1050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3540 | 0.1760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2660 | 0.2440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1360 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1720 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 2.3300 | 0.0000 | 2.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4200 | 0.3200 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 20602 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1478 | 0.3622 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.9585 | 0.9815 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8580 | 1.9320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2190 | 0.4510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0458 | 0.1342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0458 | 0.1342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5233 | 0.0667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.4500 | 0.0000 | 0.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 06501 | ATORVASTATINA CALCICA 20 MG CP VO UN | 2.8600 | 1.4300 | 1.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8300 | 0.6080 | 0.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2280 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.6400 | 0.2136 | 0.4264 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 12.4000 | 4.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.0000 | 0.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 9.1940 | 1.0260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1261 | 0.1339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1261 | 0.1339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1263 | 0.1337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 21.1100 | 21.1078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8580 | 1.9320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1404 | 0.5896 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3290 | 0.0710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5988 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 1.1900 | 1.1868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 1.2829 | 0.7771 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.4297 | 0.2603 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.4298 | 0.2602 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 52.3300 | 52.3278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.3330 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.5617 | 0.0583 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.5617 | 0.0583 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3856 | 0.0144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8193 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 14.4000 | 8.2300 | 6.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 0.5570 | 2.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 3.4971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7435 | 0.0665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 16031 | CISATRACURIO 10 MG 5 ML SI IV AP | 90.4000 | 90.3990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 8.1300 | 8.1276 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6280 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2796 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.3070 | 2.4830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.3070 | 2.4830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.2437 | 0.2463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b52362d3a610c4e0534f4432889d949f | ROSICLER | NULL | NULL | 12000231948 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b52362d3a610c4e0534f4432889d949f | ROSICLER | NULL | NULL | 12000231948 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b52362d3a610c4e0534f4432889d949f | ROSICLER | NULL | NULL | 12000231948 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8330 | 0.1670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 1.0898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5498 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0900 | 0.0220 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0900 | 0.0220 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0070 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.4000 | 0.2593 | 0.1407 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3800 | 0.2463 | 0.1337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3800 | 0.2463 | 0.1337 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2800 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2820 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1374 | 0.1226 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1375 | 0.1225 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.6400 | 2.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 54678 | LANTUS | 0.2000 | 0.1900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1760 | 0.4940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1797 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3076 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4600 | 1.3100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.4197 | 0.2803 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.6630 | 0.2370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3410 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2662 | 0.2538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00238 | ATADURA CREPOM 15 CM UN | 3.5000 | 0.0000 | 3.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00238 | ATADURA CREPOM 15 CM UN | 2.3300 | 0.0000 | 2.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.8300 | 0.8200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.3721 | 0.1179 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1430 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6040 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1601 | 0.1599 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2550 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2550 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2570 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0901 | 0.0899 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.4700 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1600 | 9.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00312 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1700 | 9.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3090 | 0.2010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6550 | 0.3450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2160 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51379 | SERINGA DESC 05 ML UN | 0.0000 | 0.7688 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4870 | 0.1130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1895 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 7.8900 | 4.5542 | 3.3358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.9076 | 0.6824 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.9076 | 0.6824 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5170 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 2.9000 | 1.6083 | 1.2917 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 2.9000 | 1.6083 | 1.2917 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 27162 | ROPIVACAINA 10 MG/ML 20 ML SI PE M | 0.0000 | 2.0052 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 17191 | FIO VICRYL 3-0 C/ AGULHA 2,4 3/8 J1 | 0.0000 | 61.4884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 25739 | ELETRODO DESCARTAVEL (UTI) UN | 0.0000 | 4.2480 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12024167136 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006835339 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006835339 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041625235 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.0000 | 0.2480 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7639 | 0.1661 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7639 | 0.1661 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7643 | 0.1657 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1727 | 0.0173 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1930 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3540 | 0.1760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.7980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 2.3300 | 2.1572 | 0.1728 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.4996 | 0.5004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2457 | 0.2643 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 13.1687 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0698 | 0.3402 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 992ce258cf73e450d019e370c7b0e144 | RENNE | NULL | NULL | 11958235131 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1500 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8300 | 0.5940 | 0.2360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1830 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 11290 | HIDROCORTISONA 100 MG PO IM IV FA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 27600 | ONDANSETRONA 2 MG/ML 4 ML SI IM I | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 1.5960 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 1.4000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 27545 | CAMPO IODOFORADO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.2560 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 07978 | ELETRODO PARA MARCAPASSO TEMPORARIO | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1081 | 0.0819 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 1.0400 | 2.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5477 | 0.1023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.6000 | 2.1908 | 0.4092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 0.0000 | 3.9400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.6500 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1920 | 0.3180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2880 | 0.4820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2200 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11954125730 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11954125730 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11954125730 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978293132 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978293132 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954078238 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.3952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 07390 | DOBUTAMINA 250 MG 20 ML SI IV FR | 0.0000 | 20.9885 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11969054546 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6c2c7740d4c53021ac7d799141f08429 | JUVENIL | NULL | NULL | 11969054546 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 24082 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 24082 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.1498 | 2.7302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.1498 | 2.7302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.1498 | 2.7302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 11.4600 | 9.3800 | 2.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 18.7600 | 4.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 20.0970 | 4.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 53070 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV | 36.2700 | 36.2698 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f503e49355bb39c8e379397546306926 | ANA | NULL | NULL | 12045252444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 12058250527 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 11.5710 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6480 | 0.0220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9590 | 0.0410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6020 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4090 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | eaa58dad37ed83980acfc856d991be3d | REGIANE | NULL | NULL | 12003605925 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | d4291fba863aa4681ee81198f2868d63 | HERMINIO | NULL | NULL | 12061672420 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | a9a20f7fc04eb9acc980656e0263aedf | CLEUSA | NULL | NULL | 11996123829 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4610 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01102 | SONDA FOLEY 2 VIAS N 16 UN | 3.8200 | 1.9087 | 1.9113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1607 | 0.0293 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8834 | 1.8866 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00690 | BOLSA COLETORA (SISTEMA FECHADO) UN | 5.9300 | 4.4483 | 1.4817 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00690 | BOLSA COLETORA (SISTEMA FECHADO) UN | 5.9300 | 4.4483 | 1.4817 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5567 | 0.8533 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cbaf42eb246c625eb565382d1e8337e4 | AMANDA | NULL | NULL | 11971654635 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cbaf42eb246c625eb565382d1e8337e4 | AMANDA | NULL | NULL | 11971654635 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3708 | 0.0292 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055992530 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055992530 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055992530 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 11.8766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 01775 | ATADURA CREPOM 30 CM UN | 0.0000 | 14.8084 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6754a875500788d12733773c12ef63c2 | JOAO | NULL | NULL | 12045498730 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6754a875500788d12733773c12ef63c2 | JOAO | NULL | NULL | 12045498730 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51241 | AGULHA 123X45 | 0.1900 | 0.1494 | 0.0406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51241 | AGULHA 123X45 | 0.3800 | 0.2989 | 0.0811 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51241 | AGULHA 123X45 | 0.3800 | 0.2989 | 0.0811 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.0000 | 1.7425 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3368 | 0.1732 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.5085 | 0.2615 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 78.0708 | 39.0392 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 1.9196 | 0.9604 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3630 | 0.0370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7360 | 0.0740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 11.2700 | 2.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 11.2700 | 2.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9477 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 54968 | ELIQUIS TABLET ORAL | 13.4800 | 6.7400 | 6.7400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0700 | 0.3280 | 0.7420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 5704ee64cefc35236ec4f397d76ab06a | MARILIA | NULL | NULL | 12052544823 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 11.5710 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183329 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0700 | 0.3280 | 0.7420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2884 | 0.1916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2884 | 0.1916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.1589 | 0.5111 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.1459 | 0.5241 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.1000 | 0.0986 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 2.3812 | 0.9995 | 0.8105 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.0000 | 1.3322 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2900 | 0.2899 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8400 | 0.8388 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1790 | 0.4210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 54033 | Fio Nylon 3-0 3/8 Triang Ag 1,9 (14503t) | 6.6900 | 6.6870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.0900 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51456 | LIDOCAINA 2% S/ VASO SI PE SC ML | 2.3500 | 2.3496 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 4.1100 | 4.1094 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3295 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 0.0000 | 20.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.1900 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 3.2300 | 3.2000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.7870 | 0.9430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 15.7800 | 6.7684 | 9.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 76bc622d66d20e2144fe5a0db095d82a | ANA | NULL | NULL | 12071869527 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 3.3300 | 3.1300 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.2637 | 0.6363 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5470 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5470 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 17.8076 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 13.1687 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6000 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2761 | 0.2039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.0935 | 0.8265 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.2200 | 2.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 50385 | CETOPROFENO 100 MG PO IV FA | 7.7800 | 7.7768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 22171 | ATADURA CREPOM 10 CM UN | 2.3800 | 0.0000 | 2.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0900 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1770 | 0.3330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8580 | 1.9320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5790 | 0.8710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5790 | 0.8710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2640 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2570 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2570 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5150 | 0.0850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3910 | 0.3790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3910 | 0.3790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.7900 | 0.9100 | 0.8800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 7.1259 | 4.7541 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 53347 | REMIFENTANIL 2 MG PO IV ML | 2.4000 | 2.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1243 | 0.0557 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.8200 | 0.5639 | 0.2561 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51241 | AGULHA 123X45 | 0.1900 | 0.0905 | 0.0995 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6010 | 0.3990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0200 | 0.6140 | 0.4060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.0170 | 0.6730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7200 | 1.0350 | 0.6850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4587 | 1.1513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2620 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 21865 | ACIDO TRANEXAMICO 50 MG/ML 5 ML SI | 0.0000 | 17.5396 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7299723a7cf9bbc33b824d361f0945a3 | ANA | NULL | NULL | 12005380619 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | a928a0e5dfe9a728254d0d5e9dcbf1d0 | BERTOLINA | NULL | NULL | 12030212818 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6fb82ee377634e4132cfc6e1adcaa8e0 | GABRIEL | NULL | NULL | 12058260917 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 2e2f03e046097465ccdb246bcd3e2aa7 | JUAREZ | NULL | NULL | 12007210215 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5240 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5240 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3981 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.5480 | 0.1220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.7200 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.7200 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00348 | DIPIRONA 500 MG CP VO UN | 0.8200 | 0.8190 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00348 | DIPIRONA 500 MG CP VO UN | 0.8200 | 0.8190 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.4500 | 0.2700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.4500 | 0.2700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 27308 | FIO MONOCRYL 5-0 C /AGULHA 1,65 45 | 0.0000 | 44.2588 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.4700 | 0.4100 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00447 | CLORIDRATO DE BUPIVACAINA GLICOSE GE | 6.2600 | 6.2594 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00447 | CLORIDRATO DE BUPIVACAINA GLICOSE GE | 6.2600 | 6.2594 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 17744 | FIO PROLENE 3-0 C/ AGULHA 2,5 1/2 8 | 0.0000 | 45.6896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 53349 | CORDA GUIA 0,14 CONVENCIONAL | 200.0000 | 100.0000 | 100.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51218 | TICAGRELOR 90 MG CP VO UN | 7.7600 | 6.8900 | 0.8700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4500 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.4800 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51181 | POVIDINE TINTURA | 1.2000 | 0.5000 | 0.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 0.0000 | 7.8894 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986625237 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986625237 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986625237 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986625237 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | a928a0e5dfe9a728254d0d5e9dcbf1d0 | BERTOLINA | NULL | NULL | 12030448230 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | a928a0e5dfe9a728254d0d5e9dcbf1d0 | BERTOLINA | NULL | NULL | 12030448230 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.8693 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00493 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.2092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6688 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.6000 | 2.1380 | 0.4620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3032 | 0.0968 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1263 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1263 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9395 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2491 | 0.0809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1256 | 0.0544 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 000501 | OXIGENIO | 5.9500 | 4.3390 | 1.6110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7479 | 0.2121 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1410 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0200 | 0.6859 | 0.3341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.3493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51419 | FILTRO DE BARREIRA | 24.0000 | 18.0000 | 6.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51241 | AGULHA 123X45 | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7138 | 0.0962 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.6815 | 1.0485 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3539 | 0.0461 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2580 | 1.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.0750 | 1.5350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7667 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9350 | 0.7350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5600 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1840 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1840 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00031 | AGULHA DESC 13 X 45 UN | 0.5800 | 0.5690 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 11.5100 | 9.9271 | 1.5829 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.8700 | 0.7503 | 0.1197 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.8600 | 0.7418 | 0.1182 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.9720 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.0200 | 0.7660 | 0.2540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3840 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4570 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8730 | 0.1270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.9200 | 0.9172 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1975 | 0.0725 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3434 | 0.0066 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4200 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8330 | 0.8370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2578 | 0.2522 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2578 | 0.2522 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2578 | 0.2522 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7290 | 0.2710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7290 | 0.2710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4950 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 1.1656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8220 | 0.1780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8220 | 0.1780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1960 | 0.1040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1500 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1520 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 1.6146 | 2.1554 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.6146 | 2.1554 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.0000 | 1.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2580 | 0.2520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.7870 | 0.9430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 3.2300 | 3.2000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6000 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.1900 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 333.8000 | 333.7971 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.7192 | 0.8908 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.8500 | 0.8400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.2400 | 0.1780 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51419 | FILTRO DE BARREIRA | 24.0000 | 0.0000 | 24.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.1930 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1930 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1930 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.1000 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.1700 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.1700 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1790 | 0.4210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1790 | 0.4210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1790 | 0.4210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 52982 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/8 163T EV | 6.6900 | 6.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00563 | ATROPINA 0,50 MG SI IV AP | 0.6500 | 0.6488 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2884 | 0.1916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0700 | 0.3280 | 0.7420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0700 | 0.3280 | 0.7420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9479 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 7.8900 | 5.5752 | 2.3148 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7360 | 0.0740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 1.9196 | 0.9604 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 10.1900 | 8.2743 | 1.9157 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51584 | ESPARADRAPO MICROPORE | 0.5500 | 0.3632 | 0.1868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5300 | 0.3606 | 0.1694 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.7567 | 0.8533 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51241 | AGULHA 123X45 | 0.1900 | 0.1494 | 0.0406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1573 | 0.0327 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 37702 | FIO PROLENE 4.0 C/ AGULHA 2,0 1/2 9 | 0.0000 | 91.5280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055992530 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.4696 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 11.8766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1276 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1276 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9388 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3197 | 0.0103 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1536 | 0.0264 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8682 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51242 | SONDA DOBBHOFF (P/ ALIMENTAÇÃO ENTERAL) UN | 38.8100 | 19.4072 | 19.4028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4090 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2770 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6790 | 0.5310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.1498 | 2.7302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.1498 | 2.7302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.6000 | 0.0000 | 3.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.6000 | 0.0000 | 3.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8400 | 0.0000 | 0.8400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00124 | LUVA CIRURGICA UN | 5.7900 | 3.3000 | 2.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f34d6de69c60ac524337ab75bc67d951 | LAURA | NULL | NULL | 11978562437 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 18333 | ALFENTANILA 0,544 MG/ML 5 ML SI IV | 0.0000 | 6.3773 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 6.5688 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954078238 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954078238 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978293132 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3962 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3963 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2360 | 0.0640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5477 | 0.1023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 0.2573 | 6.5627 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.0911 | 0.8489 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2910 | 0.2190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1025 | 0.0775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 01775 | ATADURA CREPOM 30 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 61824 | LEVOBUPIVACAINA 0,75 C / VASO SI P | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.1064 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 33227 | LUVA CIRURGICA UN | 0.0000 | 2.8950 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 29874 | PROPOFOL 1% SI IV ML | 0.0000 | 10.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 18333 | ALFENTANILA 0,544 MG/ML 5 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 61824 | LEVOBUPIVACAINA 0,75 C / VASO SI P | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 43.1910 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 000501 | OXIGENIO | 0.0000 | 35.7120 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.4000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 54640 | STENT PERIFERICO AUTO-EXPANSIVEL AT | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 56219 | ENDOPROTESE ILIACA (EXTENSAO) UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 03905 | CATETER BALAO PARA ANGIOPLASTIA PER | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5200 | 0.2835 | 0.2365 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7665 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 13.7800 | 2.7500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00760 | CLEXANE (ENOXAPARINA) 20 MG SI IV SC SE | 20.0400 | 10.0200 | 10.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 4.4538 | 1.4862 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7690 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 5.0983 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2457 | 0.2643 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2457 | 0.2643 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1260 | 0.1340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00690 | BOLSA COLETORA (SISTEMA FECHADO) UN | 5.9300 | 2.9656 | 2.9644 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3870 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 53070 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV | 18.1400 | 18.1365 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.0200 | 0.0000 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0900 | 0.0600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0880 | 0.4420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3739 | 0.1061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0900 | 0.0000 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2180 | 0.2920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2200 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.8900 | 0.5199 | 0.3701 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54678 | LANTUS | 0.5500 | 0.5000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4291 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 130.0000 | 107.5800 | 22.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0800 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 1.9200 | 0.9600 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2100 | 0.2050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1760 | 0.0840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4268 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.3800 | 0.3747 | 0.0053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3500 | 0.3340 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6140 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0751 | 0.3749 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.1488 | 0.7512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0050 | 0.1950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2360 | 0.0340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.4550 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 92.4800 | 83.6806 | 8.7994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 1.2960 | 1.2940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 17252 | LIDOCAINA 2% GE OU TP GR | 7.7800 | 3.8920 | 3.8880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 12051961616 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058045310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003592219 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | be3556c5a9ce174c3ec9bb85732d83f3 | VANESSA | NULL | NULL | 12011483415 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.3800 | 0.3587 | 0.0213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.3800 | 0.3587 | 0.0213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 74d863f9998a940e6705a93e70409e1f | DIVINA | NULL | NULL | 12077603512 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 4b887a7636112ab482bad977540c91da | LUIZ | NULL | NULL | 11989224518 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7181860cef1b9f4768d9fe1f5f0046db | EVLYN | NULL | NULL | 11996649116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 91ec20448357f60543ef957c658a4cf6 | VANDEILSON | NULL | NULL | 11996369210 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12072311417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 9064dd126f1f7e44d6b520c8fd036fa1 | GEOVANA | NULL | NULL | 12010656610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 642bbecf1186fd10e4b3753ccfdbdaad | JOAO | NULL | NULL | 12006669917 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | feca6744faebaae3c6b10bad493c5b70 | ANESIA | NULL | NULL | 11994450510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 1deff3c2df599408cc251d9242b527f3 | WANDERNILSON | NULL | NULL | 11996505617 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990173618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 52e5f84bf44cf5b2408012e2d3609b04 | ROSA | NULL | NULL | 11996260013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11996707819 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 11996340811 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | a8d8473580cdb4b695d43f4793b9c628 | ANDRE | NULL | NULL | 11994465011 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12058334618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 51eb703cd1de2e27983c741f79a2540d | CHRISTIANNE | NULL | NULL | 12009851917 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6665caf02a79018454f572ff6f8456cd | RODRIGO | NULL | NULL | 12071556611 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 1159084aa8ddf656db18d4edda9f0722 | IUCATAN | NULL | NULL | 12009804917 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056467615 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 02254 | METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL | 97.1500 | 97.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.2295 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 12.2800 | 11.4630 | 0.8170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2430 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7565 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7565 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3032 | 0.0968 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 8.9049 | 8.9051 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 5.9399 | 5.9401 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 2.9699 | 2.9701 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7694 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5300 | 0.5280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.4500 | 0.0000 | 1.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 5.4130 | 4.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8188 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4094 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 0.3760 | 1.1640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 0.3760 | 1.1640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 0.3760 | 1.1640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.1880 | 0.5820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 2.5108 | 1.2592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 6.1100 | 4.2518 | 1.8582 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.2644 | 0.1156 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1322 | 0.0578 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1322 | 0.0578 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.9076 | 0.6824 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1610 | 0.0290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 52982 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/8 163T EV | 6.6900 | 6.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1340 | 0.3960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5440 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 38.4800 | 38.4764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | 13.3300 | 13.3267 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 2.0594 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 07761 | CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA | 176.7300 | 176.7288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 07761 | CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA | 88.3600 | 88.3598 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 52216 | GLICOSE 50% 20 ML SI IV AP | 3.2000 | 1.6017 | 1.5983 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55272 | MITRIPTILINA 25 MG CP VO UN | 0.3500 | 0.2645 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55272 | MITRIPTILINA 25 MG CP VO UN | 0.3500 | 0.2645 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55272 | MITRIPTILINA 25 MG CP VO UN | 0.3500 | 0.2645 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55272 | MITRIPTILINA 25 MG CP VO UN | 0.3500 | 0.2645 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 0.6562 | 0.4338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2900 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 1.2970 | 1.2930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2800 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00904 | NORIPURUM EV 20 MG/ML 5 ML SI IV AP | 18.8200 | 18.8150 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 20.9032 | 5.2268 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 20.9032 | 5.2268 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.0200 | 0.3140 | 0.7060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2270 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5274 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3820 | 0.1280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4586 | 1.1514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 1.0300 | 1.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 1.0300 | 1.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 5.3800 | 5.3710 | 0.0090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.2262 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5988 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4200 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.8429 | 0.7671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 1.1676 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1761 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6662 | 0.3338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.9580 | 0.6520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.9580 | 0.6520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.9580 | 0.6520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 03280 | CLOREXIDINA 2 % ST TP ML | 2.6600 | 1.9930 | 0.6670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 0.5970 | 1.1930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 1.0000 | 0.5630 | 0.4370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.7090 | 0.4910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00031 | AGULHA DESC 13 X 45 UN | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4450 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 33227 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3060 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3060 | 0.2040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.2008 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.3673 | 2.3627 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 1.6899 | 2.2501 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 1.6899 | 2.2501 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 1.6899 | 2.2501 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 1.6899 | 2.2501 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4893 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0400 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0400 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.2637 | 0.6363 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4548 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9392 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.7900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5474 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cbaf42eb246c625eb565382d1e8337e4 | AMANDA | NULL | NULL | 11971654635 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5467 | 0.4133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.2100 | 2.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 60038 | BISOPROLOL 5 MG CP VO UN | 2.0200 | 2.0156 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0900 | 0.0851 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.0000 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1266 | 0.3234 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2570 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2570 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0060 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1770 | 0.3330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8765 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0210 | 0.0090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 0.2713 | 1.3287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51241 | AGULHA 123X45 | 0.8100 | 0.8090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8940 | 0.7760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8940 | 0.7760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2200 | 0.2170 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2500 | 0.2460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3200 | 0.3150 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5790 | 0.8710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5790 | 0.8710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1400 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3910 | 0.3790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 53347 | REMIFENTANIL 2 MG PO IV ML | 2.4000 | 2.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9132 | 0.4968 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 15784 | OXACILINA 500 MG + DIL. 3 ML PO IM | 0.0000 | 36.3184 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 0.0000 | 2.2550 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4700 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.9200 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 6.4600 | 5.5000 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1237 | 0.0563 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1237 | 0.0563 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51241 | AGULHA 123X45 | 0.3800 | 0.1810 | 0.1990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3500 | 0.2130 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0200 | 0.6140 | 0.4060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4586 | 1.1514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2620 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.5123 | 0.0077 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 23.9505 | 2.1795 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 23.9499 | 2.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 43.1900 | 22.4572 | 20.7328 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.3800 | 0.3747 | 0.0053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0744 | 0.3756 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0744 | 0.3756 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0744 | 0.3756 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 3.1768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1400 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.2900 | 0.2530 | 0.0370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.4550 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 52.8500 | 47.8214 | 5.0286 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 63.8600 | 57.7838 | 6.0762 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 79.2700 | 71.7276 | 7.5424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7762743f166ed136b53ad6f351945a8e | TEREZA | NULL | NULL | 12047409710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12057982112 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 9b55d4c208ea6fd82ca4115295943d95 | SIRLEI | NULL | NULL | 12078243010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | e23d44f0f664478f0fab50f0e578b1b0 | AUTILIA | NULL | NULL | 12010773911 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12061943415 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6720419d56ac643545ccf13e6b37472e | MARIA | NULL | NULL | 11990224717 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3029df81639bfcfa7c8b0da3103a7671 | ELIETE | NULL | NULL | 11989170014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11996466813 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 114387113ee32b6d1eaa515c270293af | MARIA | NULL | NULL | 12010901510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | f107652dbc39160d0f4169ab2dde78e3 | GERALDO | NULL | NULL | 11994251712 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 76cda44fc4f696c69fc2698351fc0cae | IVONE | NULL | NULL | 12011537516 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 05fe7c41e4d93d08f34a753ad28cf235 | HILDA | NULL | NULL | 12078066111 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | d88bef26a13d2ded818a03f873db5fee | ELENISSE | NULL | NULL | 12006862416 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7908292c7879ccf52c907a77bc03ffde | PRISCYLLA | NULL | NULL | 12011062914 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003499813 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 11996552715 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 67d82805dde5eaa426165d6ad27a9cca | DOMINGOS | NULL | NULL | 11996202913 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 8e9deacb137a6da2e51f2508aa9aefff | MARIA | NULL | NULL | 12060226117 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 12057156413 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | d85f65c150c68102a13702e4149884af | RANULFO | NULL | NULL | 12006692610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 3.3280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.5170 | 0.1530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2550 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0906 | 0.0894 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.5070 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 23.3600 | 23.3590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1600 | 9.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 20.9900 | 20.9880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5400 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1900 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1900 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3090 | 0.2010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1570 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00124 | LUVA CIRURGICA UN | 4.3400 | 2.7605 | 1.5795 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.9222 | 0.5278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2160 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3075 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5988 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4740 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4870 | 0.1130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 3d59def7b386631d5b4fd7249cb9ced6 | ONDUMAR | NULL | NULL | 11995767320 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | b1ea63aad5ef35f90ca905e2bfea8fde | MERCIA | NULL | NULL | 11998393529 | 32020040 | COLUNA DORSAL AP LATERAL | 0.0000 | 24.0850 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 48b7b2f130435eb9fc2fa81b0e8bbb51 | MARA | NULL | NULL | 11994485426 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 74d863f9998a940e6705a93e70409e1f | DIVINA | NULL | NULL | 12077607825 | 32050038 | TORAX PA | 0.0000 | 15.7530 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 32f818c70e8b80ce0ff4b9c7031e40b5 | ANDRELINA | NULL | NULL | 12061220029 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 9114d3d07c8ddd580e6aa9e6de9413a8 | ROSALIA | NULL | NULL | 12010876820 | 32050054 | TORAX PA LAT | 0.0000 | 14.1474 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12041704320 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 11.5710 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12056909824 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0500 | 0.0498 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 1.4827 | 0.9148 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8975 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.1281 | 0.5419 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7435 | 0.0665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1426 | 0.5874 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.9585 | 0.9815 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0140 | 0.0160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5600 | 0.3600 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1261 | 0.1339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061972838 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061972838 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9399 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7510 | 0.2490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 1.7870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2168 | 0.0532 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3454 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0880 | 0.4420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 05290 | AMOXICILINA 1 G + CLAVULANATO 200 M | 0.0000 | 36.4655 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 98.2560 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 13420 | BENAZEPRIL 5 MG CP VO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3739 | 0.1061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2280 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54678 | LANTUS | 0.5000 | 0.4500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51164 | AGUA BIDESTILADA 500 ML | 12.8500 | 12.8471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24511 | FIO ETHBOND 2-0 C/ AGULHA 2,75 1/2 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 000425 | TAXA DE ARTROSCOPIA CIRURGICA | 0.0000 | 0.0000 | NULL | PROCEDIMENTO NAO REALIZADO OU NAO I | 0403 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4285 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4285 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 130.0000 | 107.5700 | 22.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 130.0000 | 107.5800 | 22.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 2.1280 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 1.4640 | 1.0960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 1.9200 | 0.9600 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 1.9200 | 0.9600 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 1.9229 | 0.5471 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 1.0480 | 0.4920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5240 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3010 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3010 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3060 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 2.0310 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 2.0310 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.1500 | 3.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.1500 | 3.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.1291 | 3.2809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.1286 | 3.2814 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3178 | 0.0822 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.2179 | 0.3721 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.2182 | 0.3718 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 02254 | METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL | 97.1500 | 97.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5897 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.2295 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 12.2800 | 11.4630 | 0.8170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 23990 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3 | 0.0000 | 42.1968 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b52362d3a610c4e0534f4432889d949f | ROSICLER | NULL | NULL | 12000231948 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 31488 | PARACETAMOL 750 MG CP VO UN | 0.9100 | 0.9050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 19.2400 | 19.2382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 16.1800 | 16.1742 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 50385 | CETOPROFENO 100 MG PO IV FA | 15.5500 | 15.5472 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5440 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1390 | 0.3710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1320 | 0.3980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2600 | 8.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 16.3760 | 8.1840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1322 | 0.0578 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1322 | 0.0578 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.8300 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.8400 | 0.5100 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.1880 | 0.5820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 53347 | REMIFENTANIL 2 MG PO IV ML | 2.4000 | 2.3990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4438 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 8.1300 | 8.1284 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 24.3800 | 24.3752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7694 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.8200 | 1.8186 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00471 | LIDOCAINA 2% GE OU TP GR | 10.3800 | 5.2865 | 5.0935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 01583 | NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP | 3.0700 | 3.0656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.1630 | 3.2470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5499 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2430 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2430 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2430 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2430 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 12.2800 | 11.4630 | 0.8170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 22.9260 | 1.6340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 1.2300 | 1.2295 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0320 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5886 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 2.0310 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 3.0000 | 2.5380 | 0.4620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1760 | 0.0840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 1.9229 | 0.5471 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 12.4061 | 1.2239 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 130.0000 | 107.5800 | 22.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54678 | LANTUS | 0.4500 | 0.4100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 1.4800 | 0.8646 | 0.6154 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2280 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2280 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9730 | 0.6970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0900 | 0.0000 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3744 | 0.1056 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3739 | 0.1061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3739 | 0.1061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3739 | 0.1061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1762 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.0000 | 1.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2589 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5071 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5400 | 0.5369 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1960 | 0.1040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2710 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2100 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 1.1659 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5494 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7290 | 0.2710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7290 | 0.2710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1559 | 0.1341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0110 | 0.0190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1767 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1970 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3710 | 0.0290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3830 | 0.1270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1840 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1840 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5600 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5600 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2580 | 1.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 53068 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371H EV | 60.2200 | 36.1345 | 24.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.0000 | 1.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.0200 | 2.0189 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2880 | 0.4820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2200 | 0.3100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11954125730 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11954125730 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11954125730 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978293132 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978293132 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 19.5772 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f34d6de69c60ac524337ab75bc67d951 | LAURA | NULL | NULL | 11978562437 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f34d6de69c60ac524337ab75bc67d951 | LAURA | NULL | NULL | 11978562437 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f34d6de69c60ac524337ab75bc67d951 | LAURA | NULL | NULL | 11978562437 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f34d6de69c60ac524337ab75bc67d951 | LAURA | NULL | NULL | 11978562437 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 2.7370 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2166 | 0.0534 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8300 | 0.6200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8300 | 0.6200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 24082 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.0499 | 0.9101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.1498 | 2.7302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 18.7500 | 4.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 20.0970 | 4.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1410 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6430 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4090 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6000 | 0.5948 | 0.0052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00211 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP | 0.0000 | 4.2697 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4366 | 0.0434 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.0474 | 0.1626 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.6815 | 1.0485 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.6815 | 1.0485 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7138 | 0.0962 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.0060 | 0.8340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51241 | AGULHA 123X45 | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51241 | AGULHA 123X45 | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.4000 | 2.1743 | 0.2257 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51419 | FILTRO DE BARREIRA | 24.0000 | 18.0000 | 6.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2500 | 0.2495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4640 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2430 | 0.0470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6121 | 0.1979 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2478 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 23.7500 | 11.8749 | 11.8751 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 2.9699 | 2.9701 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 2.9703 | 2.9697 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.0000 | 1.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.0000 | 0.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.4400 | 0.0000 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 16.2600 | 16.2568 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4440 | 0.0360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.7500 | 2.7470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3564 | 0.0436 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8188 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0740 | 0.1860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 2.5108 | 1.2592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3600 | 0.2200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3600 | 0.2200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3600 | 0.2200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3600 | 0.2200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.8300 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.8300 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.8300 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0900 | 0.0500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.2644 | 0.1156 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.2644 | 0.1156 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.9076 | 0.6824 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.0125 | 0.5775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1270 | 0.1830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 16.1800 | 16.1742 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 38.4800 | 38.4764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 12025557637 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 12025557637 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 32190 | CLORETO DE POTASSIO 10% 10 ML SI I | 0.0000 | 0.2967 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2400 | 0.1300 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4176 | 0.1724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 25724 | ESOMEPRAZOL MAGNESIO 40 MG CP CP | 4.8600 | 2.6508 | 2.2092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5274 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1895 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 0.6562 | 0.4338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.2660 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.1900 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.1900 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.7930 | 0.9370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.7870 | 0.9430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.7870 | 0.9430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7320 | 0.2680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 1.6899 | 2.2501 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0400 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0400 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.2637 | 0.6363 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9392 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 01485 | HALOPERIDOL 5 MG/ML 1 ML SI IM IV AP | 5.5500 | 5.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5474 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5467 | 0.4133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5467 | 0.4133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 60038 | BISOPROLOL 5 MG CP VO UN | 2.0200 | 2.0156 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 50385 | CETOPROFENO 100 MG PO IV FA | 7.7800 | 7.7768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1271 | 0.3229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 6.3500 | 3.1743 | 3.1757 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.1000 | 1.4900 | 0.6100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2610 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2570 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0900 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0900 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 0.6210 | 1.1690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7490 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3840 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3840 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1310 | 0.1290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 0.2713 | 1.3287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0180 | 0.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9968 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8330 | 0.1670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5790 | 0.8710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5494 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2570 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2570 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1320 | 0.1280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 1.0200 | 0.5180 | 0.5020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 53347 | REMIFENTANIL 2 MG PO IV ML | 2.4000 | 2.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 29.2100 | 9.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4700 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.3700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1237 | 0.0563 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51241 | AGULHA 123X45 | 0.1900 | 0.0905 | 0.0995 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 53047 | FIO PROLENE 3-0 C/ AGULHA 2,0 1/2 9522T EV | 18.0800 | 18.0790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 53047 | FIO PROLENE 3-0 C/ AGULHA 2,0 1/2 9522T EV | 72.3000 | 72.2960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5240 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 73.2200 | 73.2195 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.5123 | 0.0077 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 1.5500 | 1.5270 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 23.9499 | 2.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 14.4000 | 7.4874 | 6.9126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.3311 | 0.2189 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 12.5800 | 11.8925 | 0.6875 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2877 | 0.1123 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 54653 | DERSANI LC TP ML | 0.0000 | 14.5500 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 4.6900 | 3.9730 | 0.7170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9820 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 1.2970 | 1.2930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3850 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.6000 | 1.1980 | 0.4020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.3800 | 0.3747 | 0.0053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6140 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6140 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0744 | 0.3756 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.1488 | 0.7512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2510 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2510 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2510 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2360 | 0.0340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 67.3800 | 60.9689 | 6.4111 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3370 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 1.0300 | 1.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7435 | 0.0665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7435 | 0.0665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1426 | 0.5874 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1426 | 0.5874 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986625237 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3968 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2581 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6290 | 0.1410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 5.1900 | 5.1872 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 18.9400 | 16.5795 | 2.3605 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5700 | 0.3600 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 0.0000 | 3.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.0750 | 1.5350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7300 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2190 | 0.4510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.1484 | 0.1316 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 84807423c261a8d5380ea1f938c3fe72 | LUIZ | NULL | NULL | 12047211440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.0200 | 0.2800 | 0.7400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0800 | 0.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0800 | 0.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.1712 | 0.7288 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 0.0000 | 5.7900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3739 | 0.1061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 01583 | NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP | 2.3000 | 0.0000 | 2.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad2301bbf91fe6897e1b80657cb18e9d | DALVA | NULL | NULL | 11904301446 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1261 | 0.0539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1256 | 0.0544 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1256 | 0.0544 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2491 | 0.0809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.5059 | 0.1641 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1067 | 0.2133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3840 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9394 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 23.7500 | 23.7476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061972838 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9982 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6300 | 0.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6200 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1850 | 0.3250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 2.0581 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c6ef9b3a938dcace584e8507498ac36c | ANA | NULL | NULL | 12018723531 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986625237 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 6.5688 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d9eea4d8c42803b7877cc1c4d032a11c | DIOGENES | NULL | NULL | 12022270236 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065606932 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065606932 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 12024747314 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 010c281735139d8e0d4fd83d44bd4e80 | MARIA | NULL | NULL | 12006841819 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 1c3b5cd05f5bdeb8c27d898f4f252fbd | TEREZINHA | NULL | NULL | 12029163917 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055762915 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fc8deaa91dafa558065663b93ad4265b | ELEUS | NULL | NULL | 11978431936 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00464 | LIDOCAINA 2% C/ VASO SI IM PE ML | 13.6300 | 6.8130 | 6.8170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.7200 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.7200 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 4.4300 | 3.4400 | 0.9900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 1.1300 | 1.1240 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1290 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.4100 | 0.0000 | 3.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3560 | 0.1740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5892 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7639 | 0.1661 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025668814 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | bd06adc67f7cd92b936dca502e3e176d | MARIA | NULL | NULL | 12058049919 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 1724a383dc1c66dfc1809fe7b88627b7 | NARA | NULL | NULL | 12018607111 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12048827018 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063009010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 8d8b07f3d61823143c1ad0a82684d9bd | IARA | NULL | NULL | 12003606010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 747a53ccbc4b30af182473746fae316e | ANDREA | NULL | NULL | 11992618111 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | ee46182a5d49d09e9b26f020c3d4ceea | ARTHUR | NULL | NULL | 12067431719 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7d2ef689631c16d40f4fd6707f4591bf | INACIO | NULL | NULL | 12011648417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11994777912 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041625235 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041625235 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041625235 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00515 | INTRACATH ADULTO UN | 0.0000 | 36.4062 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12024167136 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 40.5568 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12025233835 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07510 | MIDAZOLAM 1 MG/ML 5 ML SI IV AP | 0.0000 | 6.4490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 2.9000 | 1.6083 | 1.2917 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 7.8900 | 4.5542 | 3.3358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 7.8900 | 4.5542 | 3.3358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7592 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3489 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.4639 | 0.0561 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4870 | 0.1130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7310 | 0.1690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6661 | 0.3339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1670 | 0.0930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1570 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3090 | 0.2010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | cef574f418a021f3c9d9e5b489982f34 | MARIA | NULL | NULL | 12011386716 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | da2511c89116844d8c7e6b81de48ea43 | BYANNA | NULL | NULL | 12077577510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3beed7eed9852ae65f41ed6ef8ecb21d | IOLANDA | NULL | NULL | 11996262715 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | d4291fba863aa4681ee81198f2868d63 | HERMINIO | NULL | NULL | 12061628913 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5ea6a6002c8e83f6d421220320b9a7dd | MARLENE | NULL | NULL | 11996577213 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5b588b1db1fe12e061ed2cd7e92b49be | NEUSA | NULL | NULL | 11989279614 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 76bc622d66d20e2144fe5a0db095d82a | ANA | NULL | NULL | 12071587313 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | ba515b35f484531efcb83291ca7cc038 | ROBERTA | NULL | NULL | 12006889910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | a9a20f7fc04eb9acc980656e0263aedf | CLEUSA | NULL | NULL | 11996120110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51503 | Levotiroxina 100mcg - Cp | 0.2400 | 0.1800 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015204713 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 56e0e7d9a4cda287758cf0672bdd2cee | MARIA | NULL | NULL | 12045354417 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 2bdbf71cf8e00c7d8470c1b0855711bf | APARECIDA | NULL | NULL | 12029930016 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 642bbecf1186fd10e4b3753ccfdbdaad | JOAO | NULL | NULL | 12041825719 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3090 | 0.2010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3700 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5400 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1600 | 9.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.4700 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 21.1100 | 21.1090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4100 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.2300 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0901 | 0.0899 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2550 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6040 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 0.0000 | 27.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1843 | 0.0557 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 7.6300 | 7.5388 | 0.0912 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54295 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL FOTOSENSIVEL UN | 37.0600 | 0.0000 | 37.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 2.3600 | 1.7752 | 0.5848 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 0.0000 | 1.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.4197 | 0.2803 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2400 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0900 | 0.0300 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 76c395111a1dd6cd69e8903e23284f13 | PAULO | NULL | NULL | 12041675818 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.6400 | 2.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 32050038 | RX Tórax: P. A. | 15.7500 | 7.8760 | 7.8740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2820 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3220 | 0.0780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3800 | 0.3799 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.1710 | 0.5990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9900 | 0.2853 | 0.7047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.4200 | 0.6976 | 1.7224 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.2000 | 0.1600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.3000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.4800 | 0.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7700 | 0.7631 | 0.0069 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1360 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3580 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 19.4700 | 19.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 3.0900 | 2.4700 | 0.6200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 3.0900 | 2.4700 | 0.6200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51241 | AGULHA 123X45 | 0.5700 | 0.0000 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.2185 | 0.3715 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 12.3900 | 4.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5300 | 0.4252 | 0.1048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0521 | 0.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.5400 | 0.3486 | 0.1914 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2200 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.5000 | 1.2760 | 0.2240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8170 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51977 | ERITROPOIETINA 4.000 UI PO IV SC | 0.0000 | 133.8855 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.2437 | 0.2463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3739 | 0.1061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1700 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5820 | 0.4180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1940 | 0.1360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.8900 | 0.5199 | 0.3701 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.8900 | 0.5202 | 0.3698 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4285 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4285 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 130.0000 | 107.5700 | 22.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2120 | 0.0580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6280 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 18.7500 | 4.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.2764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4100 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.2800 | 1.0260 | 0.2540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 3.3700 | 3.0531 | 0.3169 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01102 | SONDA FOLEY 2 VIAS N 16 UN | 3.8200 | 1.9087 | 1.9113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6130 | 0.3870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01103 | SONDA FOLEY 2 VIAS N 18 UN | 3.8200 | 1.9087 | 1.9113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6280 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 54767 | CATETER ROTALINK PARA ATERECTOMIA ROTACIONAL (ROT | 3900.0000 | 0.0000 | 3900.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3610 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12052553813 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12050994013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | b6170b5ed4df639951ec9fbc4a4a20e1 | RAYANNE | NULL | NULL | 12018671112 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.7200 | 0.0000 | 2.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.8430 | 0.7670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 38.5400 | 35.0410 | 3.4990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 68.7000 | 62.4615 | 6.2385 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 110.9800 | 100.9021 | 10.0779 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8193 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 13.6286 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 54767 | CATETER ROTALINK PARA ATERECTOMIA ROTACIONAL (ROT | 3900.0000 | 0.0000 | 3900.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 13.6286 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.5617 | 0.0583 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 26.1600 | 26.1589 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 2.8794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4930 | 0.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1874 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1874 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.9800 | 0.9740 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.9800 | 0.9740 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.8000 | 0.7960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3800 | 0.1300 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 06501 | ATORVASTATINA CALCICA 20 MG CP VO UN | 2.8600 | 1.4300 | 1.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 27308 | FIO MONOCRYL 5-0 C /AGULHA 1,65 45 | 0.0000 | 44.2588 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 5.2778 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 12.9400 | 12.9397 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.0725 | 0.0575 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 18716 | RISPERIDONA 1 MG CP VO UN | 0.0000 | 0.9990 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0458 | 0.1342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 33359 | TRAMADOL 100 MG 2 ML SI IM IV AP | 11.9800 | 11.9785 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7770 | 0.2230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 0.6600 | 0.5500 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.3800 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7957243ac3411146b9196692460875aa | RENARLY | NULL | NULL | 12049158610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12024105213 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 12045469818 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | c6ef9b3a938dcace584e8507498ac36c | ANA | NULL | NULL | 12018679317 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057946519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3d57ded22172940a3312c4a3ec0198a9 | WAGNER | NULL | NULL | 12006912812 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.2500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.5300 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 08460 | EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U | 0.0000 | 16.3969 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 345c226bfea274af1372d41b0305a6c8 | ALTINO | NULL | NULL | 12078231510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 11996362416 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 51584 | ESPARADRAPO MICROPORE | 0.7800 | 0.7759 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1310 | 0.1290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1294 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 07897 | EFEDRINA 50 MG/ML 1 ML SI IM SC IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 33260 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV A | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 000435 | TAXA DE RESPIRADOR A VOLUME (MAI) | 0.0000 | 4.4719 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 55425 | AGULHA P/ RAQUI 27GX3,5 UN | 0.0000 | 23.3143 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c55205bb9a3e9b1f061210722cf70abd | DIVINA | NULL | NULL | 12056840749 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c55205bb9a3e9b1f061210722cf70abd | DIVINA | NULL | NULL | 12056840749 | 000501 | OXIGENIO | 0.0000 | 53.3200 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.2560 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 1.0240 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07722 | DRENO DE SUCÇAO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6897 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00124 | LUVA CIRURGICA UN | 2.9000 | 1.4490 | 1.4510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4431 | 0.3669 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.3200 | 0.6400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.1318 | 0.1982 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2310 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.5300 | 0.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c6ef9b3a938dcace584e8507498ac36c | ANA | NULL | NULL | 12018723531 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 19445 | CLORETO DE POTASSIO 600 MG CA VO U | 0.0000 | 0.4875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 15016 | NITROPRUSSIATO DE SODIO 50 MG + DIL | 0.0000 | 27.3393 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978377635 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 4.6960 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12048861430 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 4.3896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 992ce258cf73e450d019e370c7b0e144 | RENNE | NULL | NULL | 11958235131 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061972838 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061972838 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062513339 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062513339 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11981598235 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.9993 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12048861430 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.4200 | 1.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12048861430 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.2600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51470 | BICARBONATO DE SODIO 8,4% 250 ML SI IV FR | 38.1100 | 19.0561 | 19.0539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54653 | DERSANI LC TP ML | 19.4000 | 14.5500 | 4.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3982 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2100 | 0.2060 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 1.9229 | 0.5471 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 1.9229 | 0.5471 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 1.0480 | 0.4920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.8000 | 0.6020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.4520 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 1.5240 | 0.2760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3416 | 0.0084 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 02254 | METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL | 48.5700 | 48.5690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3098 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3098 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 12.2800 | 11.4630 | 0.8170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 12.2800 | 11.4660 | 0.8140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 21.3900 | 1.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.0600 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 337.4100 | 16.2210 | 321.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.1630 | 3.2470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7694 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7694 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.4400 | 0.0000 | 3.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.0000 | 1.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.0000 | 1.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 8.1300 | 8.1285 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8876 | 0.0724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00563 | ATROPINA 0,50 MG SI IV AP | 0.6500 | 0.3245 | 0.3255 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.0770 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3560 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3560 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 9b55d4c208ea6fd82ca4115295943d95 | SIRLEI | NULL | NULL | 12078246325 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | ba515b35f484531efcb83291ca7cc038 | ROBERTA | NULL | NULL | 12006907723 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 11994267525 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | b1ea63aad5ef35f90ca905e2bfea8fde | MERCIA | NULL | NULL | 11998356623 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | ab2d48fa1f4531c965adf34f6ff66d78 | LACORDIOIRA | NULL | NULL | 11995918720 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 191c3bbfae3d1165b382fc3d86e1d427 | INACIO | NULL | NULL | 12076430523 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 7d2ef689631c16d40f4fd6707f4591bf | INACIO | NULL | NULL | 12011653524 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | f01a02f4e7903f0e528706d0b8c214b4 | ESRON | NULL | NULL | 11996357720 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 38.7380 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 38.7380 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.4500 | 0.2700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.4500 | 0.2700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.4700 | 0.4100 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 52726 | SUFENTANILA 50 MCG/ML 1 ML SI IV PE AP | 19.1600 | 19.1585 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 00125 | LUVA CIRURGICA UN | 2.6700 | 2.1351 | 0.5349 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4500 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 53349 | CORDA GUIA 0,14 CONVENCIONAL | 400.0000 | 266.6600 | 133.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 53349 | CORDA GUIA 0,14 CONVENCIONAL | 200.0000 | 133.3400 | 66.6600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 55019 | CATETER BALAO P/ ANGIOPLASTIA CORONARIA | 1840.0000 | 1226.6600 | 613.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 55019 | CATETER BALAO P/ ANGIOPLASTIA CORONARIA | 460.0000 | 306.6700 | 153.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 11.8766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 2.3995 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 5.0984 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 52353 | ABAIXADOR DE LINGUA UN | 0.0000 | 0.0256 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 84807423c261a8d5380ea1f938c3fe72 | LUIZ | NULL | NULL | 12047211440 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 84807423c261a8d5380ea1f938c3fe72 | LUIZ | NULL | NULL | 12047211440 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 07390 | DOBUTAMINA 250 MG 20 ML SI IV FR | 0.0000 | 20.9885 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.2471 | 0.6229 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 1.4280 | 0.3620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2070 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.2672 | 0.4028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.4300 | 0.2600 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.3200 | 0.6400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.1600 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.1600 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.1600 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.1600 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4431 | 0.3669 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9394 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7470 | 0.1530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5336 | 0.1664 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.3493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3094 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51419 | FILTRO DE BARREIRA | 24.0000 | 18.0000 | 6.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | a9b1dde9b36eab5f8cd2f38da139eedb | NEIDE | NULL | NULL | 12011543729 | 32050038 | TORAX PA | 0.0000 | 15.7530 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | bd06adc67f7cd92b936dca502e3e176d | MARIA | NULL | NULL | 12058051621 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 11.5710 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 642bbecf1186fd10e4b3753ccfdbdaad | JOAO | NULL | NULL | 12006763623 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 1aa6c25548fb702a04ad985c3ee49674 | DALILA | NULL | NULL | 12052498328 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 11.5710 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 7.3708 | 2.0992 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4500 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 07181 | AAS (ACIDO ACETILSALICILICO) 100 MG CP VO | 0.1400 | 0.1100 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00826 | TRANSAMIN (ACIDO TRANEXAMICO) 50 MG/ML 5 ML SI I | 4.3800 | 1.0956 | 3.2844 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4800 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4800 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4425 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.2100 | 0.2011 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.2100 | 0.2011 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 1.3065 | 0.7930 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5286 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00124 | LUVA CIRURGICA UN | 4.3400 | 4.3375 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3540 | 0.1760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.3800 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1320 | 0.3980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5814 | 0.2286 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 42.1013 | 12.0287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7639 | 0.1661 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.3750 | 0.6250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.8600 | 0.8810 | 0.9790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2530 | 0.2770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 156.7600 | 125.4035 | 31.3565 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2270 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.0740 | 1.5360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 28311 | TORNEIRINHA DE 3 VIAS DESCARTAVEL UN | 2.1000 | 1.0502 | 1.0498 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 28311 | TORNEIRINHA DE 3 VIAS DESCARTAVEL UN | 2.1000 | 1.0502 | 1.0498 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.3750 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1840 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1840 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1940 | 0.1360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6940 | 0.2760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01102 | SONDA FOLEY 2 VIAS N 16 UN | 3.8200 | 3.8175 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4570 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8770 | 0.1230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1970 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.8200 | 0.0697 | 0.7503 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 2.8794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.3075 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006835339 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12024167136 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12024167136 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12024167136 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12024167136 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 07650 | DRENO DE PENROSE N-2 UN | 0.0000 | 0.4484 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 5.9867 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1390 | 0.1210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 2.9000 | 1.6083 | 1.2917 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b52362d3a610c4e0534f4432889d949f | ROSICLER | NULL | NULL | 12000231948 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.2560 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6996 | 0.8504 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6994 | 0.8506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2180 | 0.2920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8765 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1276 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.5852 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cbaf42eb246c625eb565382d1e8337e4 | AMANDA | NULL | NULL | 11971654635 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 24546 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 | 0.0000 | 40.1468 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 0.5987 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 19771 | SONDA FOLEY 2 VIAS Nş 18 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055992530 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 5.8390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6754a875500788d12733773c12ef63c2 | JOAO | NULL | NULL | 12045498730 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6754a875500788d12733773c12ef63c2 | JOAO | NULL | NULL | 12045498730 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1573 | 0.0327 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2806 | 0.0494 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.5000 | 1.4965 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0342 | 0.0158 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 11.0700 | 9.0207 | 2.0493 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2787 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 4.3900 | 3.3790 | 1.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 30.3902 | 7.5998 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 30.3900 | 7.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 27.9840 | 13.9960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7360 | 0.0740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 11.2800 | 2.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3075 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5400 | 0.1650 | 0.3750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0700 | 0.3280 | 0.7420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2884 | 0.1916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3638 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5500 | 0.5492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1790 | 0.4210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1930 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.1930 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7549 | 0.0051 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3295 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4740 | 0.1960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4740 | 0.1960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.7193 | 0.8907 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.7192 | 0.8908 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1380 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 0.0000 | 20.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 333.8000 | 333.7971 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 333.8000 | 333.7971 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 333.8000 | 333.7971 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 3.2300 | 3.2000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 3.2300 | 3.2000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 3.2300 | 3.2000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7320 | 0.2680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.2008 | 0.0092 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.3672 | 2.3628 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 1.6907 | 2.2493 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 1.6899 | 2.2501 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.6321 | 0.3179 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.3432 | 0.3468 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.1600 | 0.1376 | 0.0224 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5470 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9393 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1283 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5467 | 0.4133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5467 | 0.4133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.2000 | 0.1100 | 1.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.2000 | 0.1100 | 1.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2570 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2570 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3010 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1770 | 0.3330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1770 | 0.3330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7500 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2700 | 8.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.3057 | 2.3043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8600 | 1.9300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8580 | 1.9320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51241 | AGULHA 123X45 | 0.6200 | 0.6190 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51241 | AGULHA 123X45 | 0.6200 | 0.6190 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5000 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5000 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9968 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2200 | 0.2170 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5790 | 0.8710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 0.0000 | 20.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 0.0000 | 20.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2570 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3910 | 0.3790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 3.5629 | 2.3771 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 6.3500 | 6.3444 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.3700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51241 | AGULHA 123X45 | 0.1900 | 0.0905 | 0.0995 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51241 | AGULHA 123X45 | 0.1900 | 0.0905 | 0.0995 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00031 | AGULHA DESC 13 X 45 UN | 1.0600 | 0.5051 | 0.5549 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 2.0040 | 1.3260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2620 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0490 | 0.1510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.5123 | 0.0077 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.5123 | 0.0077 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7800 | 0.7684 | 0.0116 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5600 | 1.5369 | 0.0231 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 23.9499 | 2.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 23.9499 | 2.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 78.3800 | 71.8407 | 6.5393 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 14.4000 | 7.4876 | 6.9124 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4272 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 1.6994 | 0.8506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 7.8900 | 4.5542 | 3.3358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2408 | 0.0292 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1797 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0240 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0500 | 0.9980 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2900 | 0.1785 | 0.1115 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3139 | 0.1961 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2160 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2160 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0940 | 0.5760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.9227 | 0.5273 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00124 | LUVA CIRURGICA UN | 4.3400 | 2.7605 | 1.5795 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8530 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3700 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3977 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1700 | 9.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3200 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3100 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.4700 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.4700 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.3800 | 0.3747 | 0.0053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.0744 | 0.3756 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.1488 | 0.7512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.8980 | 3.3820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.4550 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 77.9500 | 70.5332 | 7.4168 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 3.0000 | 1.5600 | 1.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4100 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51379 | SERINGA DESC 05 ML UN | 0.0000 | 0.5766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2550 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00124 | LUVA CIRURGICA UN | 5.7900 | 5.1400 | 0.6500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.3721 | 0.1179 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 6.7400 | 6.6594 | 0.0806 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7300 | 1.3013 | 0.4287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2662 | 0.2538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2662 | 0.2538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1830 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061968218 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | f24bb6c233fd6c08921d6c3f40af5241 | LICIA | NULL | NULL | 12078081619 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 81bf7bbe552c0ed1a55f254218901a22 | APARECIDA | NULL | NULL | 12072333218 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | efa46440b0872c58c5119c31f285d51c | IZETE | NULL | NULL | 12010799210 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | b1ea63aad5ef35f90ca905e2bfea8fde | MERCIA | NULL | NULL | 12061475117 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3d59def7b386631d5b4fd7249cb9ced6 | ONDUMAR | NULL | NULL | 11995759919 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3f2f262aec608161be8d49b4b62763c9 | CHAFI | NULL | NULL | 12070599310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 9d35f71ab5385db18ea06ce86d6d8c0d | BRASITA | NULL | NULL | 11996344516 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3f939161ea0bfc2bd8de18e2f8bb5c4f | EDITH | NULL | NULL | 12000139118 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | eaa58dad37ed83980acfc856d991be3d | REGIANE | NULL | NULL | 12003604712 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 48b7b2f130435eb9fc2fa81b0e8bbb51 | MARA | NULL | NULL | 11994187916 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51503 | Levotiroxina 100mcg - Cp | 0.2400 | 0.1800 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12024840810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 71faa5b70e31e20684e64937a856ca2d | ORLANDO | NULL | NULL | 12057949118 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12045406219 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12056107610 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016479818 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2400 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2400 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.2500 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.2500 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.1498 | 2.7302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.0499 | 0.9101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0249 | 0.4551 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0261 | 0.4539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.6000 | 0.0000 | 3.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 2.0000 | 0.9730 | 1.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00124 | LUVA CIRURGICA UN | 7.2400 | 4.1300 | 3.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8300 | 0.6200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f34d6de69c60ac524337ab75bc67d951 | LAURA | NULL | NULL | 11978562437 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 19771 | SONDA FOLEY 2 VIAS Nş 18 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061972838 | 20575 | SORO FISIOLOGICO 0,9% 1000 ML SI I | 0.0000 | 5.8390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 22730 | LIDOCAINA 2% C/ VASO SI PE ML | 0.0000 | 13.6260 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 34010068 | TOMOGRAFIA COMPUTADORIZADA DE CRANI | 0.0000 | 208.0025 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 54678 | LANTUS | 0.2000 | 0.1900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 54678 | LANTUS | 0.2500 | 0.2400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 1.2970 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1920 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 33227 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8580 | 0.1420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8550 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.0750 | 1.5350 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.0740 | 1.5360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 1.4180 | 0.9820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 0.5970 | 1.1930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51584 | ESPARADRAPO MICROPORE | 0.7900 | 0.4850 | 0.3050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3000 | 1.2991 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954078238 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1450 | 0.1150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5891 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7565 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8550 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3210 | 0.2190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.9580 | 0.6520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2610 | 0.2490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.8429 | 0.7671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.8429 | 0.7671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4587 | 1.1513 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.6300 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978293132 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5500 | 0.1900 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.0960 | 0.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 53068 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371H EV | 20.0700 | 12.0429 | 8.0271 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6130 | 0.5970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 0.0000 | 3.9400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5477 | 0.1023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5477 | 0.1023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.0911 | 0.8489 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.3120 | 0.6880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2228 | 0.1072 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1025 | 0.0775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 171.9480 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 38210 | FIO ETHIBOND 5.0 C/ AGULHA 1,5 B550 | 0.0000 | 41.8633 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 01724 | ATADURA CREPOM 10 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 23990 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3 | 0.0000 | 61.0784 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 103001 | DIARIA DE U.T.I. UNIDADE DE TERAPIA | 0.0000 | 709.5575 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.2000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 58688 | ENXERTO ENDOVASCULAR C/ RAMIFICAÇAO | 0.0000 | 49500.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 27308 | FIO MONOCRYL 5-0 C /AGULHA 1,65 45 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 1.2970 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 33227 | LUVA CIRURGICA UN | 0.0000 | 2.8950 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 1.0640 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1472 | 0.0028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5700 | 0.1900 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9820 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 5.9817 | 0.8383 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2900 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2800 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55272 | MITRIPTILINA 25 MG CP VO UN | 0.3500 | 0.2647 | 0.0853 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 52216 | GLICOSE 50% 20 ML SI IV AP | 3.2000 | 1.6017 | 1.5983 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1797 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5988 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 07761 | CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA | 176.7300 | 176.7288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1266 | 0.3234 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1830 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2570 | 0.2530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f503e49355bb39c8e379397546306926 | ANA | NULL | NULL | 12045252444 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7700 | 0.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00348 | DIPIRONA 500 MG CP VO UN | 0.2700 | 0.2690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3180 | 0.2120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fc8deaa91dafa558065663b93ad4265b | ELEUS | NULL | NULL | 11978431936 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fc8deaa91dafa558065663b93ad4265b | ELEUS | NULL | NULL | 11978431936 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7110 | 0.2890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7110 | 0.2890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8000 | 0.4441 | 0.3559 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2000 | 0.6660 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.5900 | 0.8824 | 0.7076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 4.3900 | 4.3897 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 0.7982 | 0.4018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 1.3190 | 1.3210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 4.4537 | 1.4863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3420 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3420 | 0.4280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7740 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7238 | 0.7262 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 0.9970 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1253 | 0.1347 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00690 | BOLSA COLETORA (SISTEMA FECHADO) UN | 5.9300 | 2.9655 | 2.9645 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3870 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.2560 | 0.5140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 00124 | LUVA CIRURGICA UN | 4.0000 | 3.1985 | 0.8015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 1.9400 | 1.9400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.4700 | 0.4100 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.4700 | 0.4100 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 13749 | MARCAPASSO CARDIACO MULTIPROGRAM. C | 0.0000 | 4324.3398 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 38.7380 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 38.7380 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 38.7380 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.3074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 1.0700 | 1.0620 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5900 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b52362d3a610c4e0534f4432889d949f | ROSICLER | NULL | NULL | 12000231948 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.2437 | 0.2463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.2700 | 0.2120 | 0.0580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 15016 | NITROPRUSSIATO DE SODIO 50 MG + DIL | 0.0000 | 27.3393 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 07390 | DOBUTAMINA 250 MG 20 ML SI IV FR | 0.0000 | 20.9885 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 19.2000 | 10.9700 | 8.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 13.6286 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.3330 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.3330 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 30970 | ENALAPRIL 20 MG CP VO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1559 | 0.1341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1398 | 0.1202 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7290 | 0.2710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7290 | 0.2710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7290 | 0.2710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1100 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2740 | 0.0560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2940 | 0.2160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.0000 | 1.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.0000 | 0.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1607 | 0.0293 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1607 | 0.0293 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0500 | 0.6410 | 0.4090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0600 | 0.6470 | 0.4130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00690 | BOLSA COLETORA (SISTEMA FECHADO) UN | 5.9300 | 4.4483 | 1.4817 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1787 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cbaf42eb246c625eb565382d1e8337e4 | AMANDA | NULL | NULL | 11971654635 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 11.5176 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055992530 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 7.6476 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 17760 | FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9 | 0.0000 | 10.0559 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 57.5880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6754a875500788d12733773c12ef63c2 | JOAO | NULL | NULL | 12045498730 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51241 | AGULHA 123X45 | 0.1900 | 0.1494 | 0.0406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0341 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.7566 | 0.8534 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.7566 | 0.8534 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5300 | 0.3606 | 0.1694 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.2600 | 0.1719 | 0.0881 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51584 | ESPARADRAPO MICROPORE | 0.5500 | 0.3632 | 0.1868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 11.2700 | 2.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5400 | 0.1650 | 0.3750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5400 | 0.1650 | 0.3750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2884 | 0.1916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2884 | 0.1916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 1.0640 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 29793 | EXTENSOR DE PRESSAO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 29700 | HENETIX (IOBITRIDOL) 300 MG/ML SI | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 21865 | ACIDO TRANEXAMICO 50 MG/ML 5 ML SI | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.3800 | 0.3587 | 0.0213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1812 | 0.0088 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01102 | SONDA FOLEY 2 VIAS N 16 UN | 3.8200 | 1.9087 | 1.9113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 000501 | OXIGENIO | 0.0000 | 835.1400 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 20630 | SORO GLICOSADO 5% 1000 ML SI IV B | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 1.2800 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 19666 | SONDA ENDOTRAQUEAL PVC C/B Nş 8,0 U | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 19917 | SONDA NASOGASTRICA LONGA Nş 18 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 000501 | OXIGENIO | 5.9500 | 4.3390 | 1.6110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 1.5350 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 1.4520 | 0.9148 | 0.1452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.3800 | 0.3587 | 0.0213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 26083 | Prolopa 50/200mg Cp. | 2.1200 | 2.1100 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12000690913 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | e6fe25f9236d5bbe375cf43961cf6e93 | MARTA | NULL | NULL | 12018827910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 631537f0907209ba5f2227f58eb601d3 | MARCO | NULL | NULL | 12057430315 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | b4215705e804b8acf7dc23b8eae7bbfb | JOSE | NULL | NULL | 12007164112 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00182 | SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP | 1.3600 | 0.6786 | 0.6814 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065606932 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065606932 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 55913 | CISATRACURIO 10 MG 5 ML SI IV FR | 0.0000 | 60.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 0.6489 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | a928a0e5dfe9a728254d0d5e9dcbf1d0 | BERTOLINA | NULL | NULL | 12030448230 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 1.9984 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8094 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9982 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061972838 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5345 | 0.1155 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5345 | 0.1155 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6121 | 0.1979 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9827 | 0.4273 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8788 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3820 | 0.1280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2491 | 0.0809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2491 | 0.0809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 03280 | CLOREXIDINA 2 % ST TP ML | 2.6600 | 1.7110 | 0.9490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3739 | 0.1061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2490 | 0.4210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1400 | 0.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7490 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7490 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3099 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 84807423c261a8d5380ea1f938c3fe72 | LUIZ | NULL | NULL | 12047211440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.2835 | 0.2365 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2781 | 0.2319 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.1484 | 0.1316 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.1486 | 0.1314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.6840 | 0.2160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2280 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51241 | AGULHA 123X45 | 0.0000 | 0.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.4270 | 0.8530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.0740 | 1.5360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2490 | 0.0810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9399 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.5000 | 0.0000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1781 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7919 | 0.1681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6510 | 0.1590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4654 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 9.5000 | 9.4965 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.7700 | 0.7593 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.7700 | 0.7593 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0900 | 0.0310 | 0.0590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1426 | 0.5874 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1433 | 0.5867 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7435 | 0.0665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7435 | 0.0665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 8.4614 | 1.0086 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2281 | 0.5019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01582 | EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP | 1.4800 | 0.7403 | 0.7397 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01582 | EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP | 0.9800 | 0.4902 | 0.4898 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54653 | DERSANI LC TP ML | 19.4000 | 14.5500 | 4.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3981 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 38.7380 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.4500 | 0.2700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.4700 | 0.4100 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.4700 | 0.4200 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 2.8794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 1.9400 | 1.9400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 19.1586 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 37729 | FIO VICRYL 0 C/ AGULHA 3,7 5/8 J376 | 0.0000 | 36.1372 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4500 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2884 | 0.1916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 4.9700 | 4.9640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.6820 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.6000 | 0.3630 | 0.2370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3790 | 0.4210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5555 | 0.4045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5500 | 0.4490 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4160 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2100 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 56472 | OCLUSOR INTRASEPTAL ATRIAL UN | 0.0000 | 25067.5195 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 0ee9f8c972c68f19f9e1c6acbfc2a0cd | DARC | NULL | NULL | 12007039114 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | efa46440b0872c58c5119c31f285d51c | IZETE | NULL | NULL | 12007044615 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5cb8acec08495318d2d1c6ec0d7b2952 | MARIA | NULL | NULL | 12006964318 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 12058246014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 67d82805dde5eaa426165d6ad27a9cca | DOMINGOS | NULL | NULL | 12042276110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12049166710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | fe59d59ffbe450357d0892baa454996b | WANDEIR | NULL | NULL | 12007113310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00124 | LUVA CIRURGICA UN | 5.7900 | 4.4990 | 1.2910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4100 | 0.3200 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4325 | 0.2375 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11986636320 | 32050038 | TORAX PA | 0.0000 | 15.7530 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 9c845e8d3972fd89861a8f9bc8efc7f9 | AURITA | NULL | NULL | 12061941626 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 11993596322 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 3f939161ea0bfc2bd8de18e2f8bb5c4f | EDITH | NULL | NULL | 12000140422 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 8d8b07f3d61823143c1ad0a82684d9bd | IARA | NULL | NULL | 12003618422 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 33412c768076658c2408f8cf398e8059 | IRACILDA | NULL | NULL | 11996524926 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | d85f65c150c68102a13702e4149884af | RANULFO | NULL | NULL | 11996339928 | 32050054 | TORAX PA LAT | 0.0000 | 14.1474 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51241 | AGULHA 123X45 | 0.3800 | 0.1043 | 0.2757 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.1880 | 0.5820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2775 | 0.0525 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2775 | 0.0525 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4200 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2800 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.2800 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0900 | 0.0500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1322 | 0.0578 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1326 | 0.0574 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.9076 | 0.6824 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 54687 | IODOPOVIDONA SD TP ML | 0.8000 | 0.3400 | 0.4600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.0251 | 1.1549 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.0125 | 0.5775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2700 | 8.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5440 | 0.4560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 38.4800 | 38.4764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 38.4800 | 38.4764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 38.4800 | 38.4764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b52362d3a610c4e0534f4432889d949f | ROSICLER | NULL | NULL | 12000231948 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 25724 | ESOMEPRAZOL MAGNESIO 40 MG CP CP | 9.7300 | 5.3070 | 4.4230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5988 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 07761 | CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA | 88.3600 | 88.3594 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55272 | MITRIPTILINA 25 MG CP VO UN | 0.3500 | 0.2645 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 0.6562 | 0.4338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 0.6562 | 0.4338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2800 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2900 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2900 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.4989 | 0.1011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.4989 | 0.1011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9820 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9820 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4730 | 0.2970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.8301 | 0.3499 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7688 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3820 | 0.1280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3980 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2786 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 102001 | DIARIA DE APARTAMENTO | 288.8800 | 216.6659 | 72.2141 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 000435 | TAXA DE RESPIRADOR A VOLUME (MAI) | 98.3800 | 76.5217 | 21.8583 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 3.0900 | 2.4700 | 0.6200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 3.0900 | 2.4700 | 0.6200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 19.4700 | 19.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5894 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3540 | 0.1760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2660 | 0.2440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0200 | 0.6724 | 0.3476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6594 | 0.3406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1735 | 0.2265 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0890 | 0.2110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7700 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2800 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.1700 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.1600 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 17252 | LIDOCAINA 2% GE OU TP GR | 7.7800 | 7.7789 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 42.2000 | 34.4814 | 7.7186 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.9200 | 1.9000 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3295 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4740 | 0.1960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2670 | 0.2530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5500 | 0.2830 | 0.2670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 0.0000 | 20.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3520 | 0.2480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3520 | 0.2480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 333.8000 | 333.7971 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 1.2300 | 1.2200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.8000 | 1.7960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.4200 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.8429 | 0.7671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1761 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.9800 | 0.9740 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.8000 | 0.7950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3075 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3499 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9397 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 1.4180 | 0.9820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2600 | 0.2000 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2665 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.0740 | 1.5360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4280 | 0.2420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 33162 | NISTATINA CV VG GR | 0.0900 | 0.0851 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 09733 | ACETILCISTEINA 600MG PO VO SA | 10.4900 | 10.4850 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 31828 | PREDNISONA 20 MG CP VO UN | 0.7500 | 0.7400 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 34584 | CAPTOPRIL 50 MG CP VO UN | 0.0000 | 0.1593 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062513339 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0150 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 727ff4bd3e9f38cb2d2a76c2f91acfab | MARIA | NULL | NULL | 12045496735 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978377635 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 68.2500 | 3.2961 | 64.9539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 1.3870 | 0.4130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.6000 | 0.3700 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.5700 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2900 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.2900 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.1640 | 0.3160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2188 | 0.1812 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2188 | 0.1812 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2188 | 0.1812 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2490 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 5.8400 | 5.8380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 19569 | SONDA DOBBHOFF (P/ ALIMENTAÇAO ENTE | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 1.0240 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 32040016 | BACIA | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 1.8000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00272 | EPINEFRINA 1 MG/ML 1 ML SI IM IV S | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 19658 | SONDA ENDOTRAQUEAL PVC C/B Nş 7,5 U | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 5.2778 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.1700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1294 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4654 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.2000 | 0.0000 | 1.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2120 | 0.0480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2200 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00095 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.0782 | 0.5918 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.5400 | 0.3490 | 0.1910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0526 | 0.1374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.4371 | 0.7429 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.2185 | 0.3715 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1262 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7800 | 0.1497 | 0.6303 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 3.0900 | 2.4800 | 0.6100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3540 | 0.1760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2660 | 0.2440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5257 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0200 | 0.6724 | 0.3476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1640 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 0.6400 | 1.9200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 000501 | OXIGENIO | 4.4600 | 2.9840 | 1.4760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4250 | 0.1050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4700 | 0.4237 | 1.0463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.6000 | 0.0000 | 1.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3068 | 0.0232 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.8510 | 0.2090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.3493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.3493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.3493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2500 | 0.2495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51419 | FILTRO DE BARREIRA | 24.0000 | 18.0000 | 6.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51241 | AGULHA 123X45 | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51241 | AGULHA 123X45 | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0961 | 0.0939 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.3800 | 0.3587 | 0.0213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 16031 | CISATRACURIO 10 MG 5 ML SI IV AP | 90.4000 | 56.4990 | 33.9010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 23.3600 | 20.0190 | 3.3410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.4277 | 0.1923 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.4277 | 0.1923 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.6815 | 1.0485 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2580 | 1.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.7494 | 0.2506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 1.8640 | 1.4660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.8000 | 0.7420 | 0.0580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.3795 | 0.1405 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2820 | 0.2280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.4990 | 0.5010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.7000 | 0.0595 | 0.6405 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.3600 | 0.0306 | 0.3294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1559 | 0.1341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0170 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 1.6146 | 2.1554 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.0000 | 1.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3870 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2405 | 0.0795 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2290 | 0.2810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 4.4537 | 1.4863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 0.7982 | 0.4018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51241 | AGULHA 123X45 | 1.0500 | 0.0000 | 1.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7110 | 0.2890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4240 | 0.3460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1540 | 0.3760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2819 | 0.1981 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 21792 | TORNEIRINHA DE 3 VIAS DESCARTAVEL U | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 1.4712 | 0.9224 | 0.0876 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.2100 | 0.2011 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2270 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 20.9034 | 5.2266 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6891 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2700 | 8.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.5491 | 1.1809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.4996 | 0.5004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2457 | 0.2643 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7690 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3761 | 0.0239 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 2.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51241 | AGULHA 123X45 | 1.0600 | 0.0000 | 1.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1400 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7110 | 0.2890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7110 | 0.2890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5200 | 0.2835 | 0.2365 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 58661 | ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 999999 | DESPESAS HOSPITALARES DIVERSAS | 0.0000 | 139.6125 | NULL | PROCEDIMENTO MULTIPLO COM PROCEDIME | 0413 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 20010141 | ECOBIDMENSIONAL COM MAPEAMENTO DE F | 0.0000 | 0.0000 | NULL | EXAMES COMPLEMENTARES NAO JUSTIFICA | 0502 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 91.7056 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 58742 | LAÇO EXTRATOR C/ CATETER DE 6,3 FR | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 28959 | DERSANI LC TP ML | 0.0000 | 4.8500 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 17191 | FIO VICRYL 3-0 C/ AGULHA 2,4 3/8 J1 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.0000 | 1.3322 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 84807423c261a8d5380ea1f938c3fe72 | LUIZ | NULL | NULL | 12047211440 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.2560 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 149.0216 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.7680 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 60712 | SISTEMA AVANÇADOR PARA ATERECTOMIA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1026 | 0.0774 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1025 | 0.0775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2930 | 0.2170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.0915 | 0.8485 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.0911 | 0.8489 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.1286 | 3.2814 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.1286 | 3.2814 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5479 | 0.1021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1570 | 1.5730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 000501 | OXIGENIO | 5.9500 | 4.3390 | 1.6110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 53068 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371H EV | 20.0700 | 12.0428 | 8.0272 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6191 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4720 | 0.1280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978293132 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.1974 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954078238 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.0000 | 0.8680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 22128 | PARACETAMOL 500 MG + CODEINA 30 MG | 0.0000 | 2.9490 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 7.7768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f34d6de69c60ac524337ab75bc67d951 | LAURA | NULL | NULL | 11978562437 | 42358 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV | 0.0000 | 1.7961 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f34d6de69c60ac524337ab75bc67d951 | LAURA | NULL | NULL | 11978562437 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2166 | 0.0534 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6130 | 0.5970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8300 | 0.6200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.1950 | 0.2050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51584 | ESPARADRAPO MICROPORE | 0.7800 | 0.4788 | 0.3012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.3400 | 0.0000 | 0.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 1.3314 | 1.0886 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 24082 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0249 | 0.4551 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.0749 | 1.3651 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.1498 | 2.7302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 18.7500 | 4.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 12.2800 | 10.0530 | 2.2270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1460 | 0.1140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6020 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6020 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1977 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.2600 | 0.3400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7435 | 0.0665 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1426 | 0.5874 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.9585 | 0.9815 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7697 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.7700 | 0.7593 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 9.5000 | 9.4963 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6510 | 0.1590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1404 | 0.5896 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.1404 | 0.5896 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8600 | 1.9300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7920 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 23.3600 | 23.3550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1261 | 0.1339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1261 | 0.1339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5300 | 0.4252 | 0.1048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2280 | 0.0720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0320 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6725 | 0.3275 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6926 | 0.3374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.0900 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7490 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.7900 | 0.9900 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 0.0000 | 5.7900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3692 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3741 | 0.1059 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7479 | 0.2121 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3410 | 0.1890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad2301bbf91fe6897e1b80657cb18e9d | DALVA | NULL | NULL | 11904301446 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.7980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0482 | 0.1418 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1256 | 0.0544 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8140 | 0.1860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8832 | 1.8868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5345 | 0.1155 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5345 | 0.1155 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9982 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.2092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00493 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 2.7300 | 2.7294 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.9299 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6895 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6893 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c6ef9b3a938dcace584e8507498ac36c | ANA | NULL | NULL | 12018723531 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c6ef9b3a938dcace584e8507498ac36c | ANA | NULL | NULL | 12018723531 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | a928a0e5dfe9a728254d0d5e9dcbf1d0 | BERTOLINA | NULL | NULL | 12030448230 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986625237 | 01899 | AMIODARONA 50 MG/ML 3ML SI IV AP | 0.0000 | 4.3896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 7.7768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 0.0000 | 16.2550 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0266 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad2301bbf91fe6897e1b80657cb18e9d | DALVA | NULL | NULL | 11904301446 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d9eea4d8c42803b7877cc1c4d032a11c | DIOGENES | NULL | NULL | 12022270236 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fc8deaa91dafa558065663b93ad4265b | ELEUS | NULL | NULL | 11978431936 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00464 | LIDOCAINA 2% C/ VASO SI IM PE ML | 13.6300 | 6.8130 | 6.8170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 03280 | CLOREXIDINA 2 % ST TP ML | 2.6600 | 1.5960 | 1.0640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.2000 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 000501 | OXIGENIO | 53.5600 | 41.6200 | 11.9400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5900 | 0.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9260 | 0.0740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f503e49355bb39c8e379397546306926 | ANA | NULL | NULL | 12045252444 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.7730 | 0.4370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0900 | 0.0000 | 1.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.2533 | 0.6467 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5274 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 42.1013 | 12.0287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 26.1600 | 22.6747 | 3.4853 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006835339 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006835339 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006835339 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.3482 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12025233835 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12025233835 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12025233835 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12025233835 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12025233835 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 2.9000 | 1.6083 | 1.2917 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5260 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7592 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.9790 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7000 | 1.6170 | 0.0830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6662 | 0.3338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.9222 | 0.5278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8530 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5500 | 0.2200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5400 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3977 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3977 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9850 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 41.9770 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1600 | 9.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 27.0600 | 8.3200 | 18.7400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00480 | PROTAMINA 1000 UI/ML 5 ML SI IV AP | 8.1700 | 3.5019 | 4.6681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 0.1500 | 0.0800 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4100 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2550 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7941 | 0.7959 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 0.0000 | 27.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 0.0000 | 27.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 0.0000 | 27.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2565 | 0.4135 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2561 | 0.4139 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7300 | 1.3013 | 0.4287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.8900 | 1.4216 | 0.4684 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2662 | 0.2538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.4197 | 0.2803 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.0200 | 0.9152 | 0.1048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.2500 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.4769 | 0.2831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1760 | 0.4940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 54678 | LANTUS | 0.5500 | 0.5100 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 3.0900 | 1.8200 | 1.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.6300 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1930 | 0.3170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0310 | 0.0290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.9000 | 0.6300 | 1.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.1210 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 1.0700 | 1.0620 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4000 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4000 | 0.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1130 | 0.3970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3800 | 0.2465 | 0.1335 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5498 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.2000 | 0.0000 | 1.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.3070 | 2.4830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2796 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6280 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6280 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.8600 | 1.4610 | 0.3990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 26.3890 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 27103 | CLORIDRATO DE PAPAVERINA 50 MG/ML 2 | 0.0000 | 13.1870 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3856 | 0.0144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3856 | 0.0144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.5617 | 0.0583 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.5617 | 0.0583 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.3330 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.3330 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8955 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 13.0797 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 13.0794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0458 | 0.1342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0458 | 0.1342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | a8d8473580cdb4b695d43f4793b9c628 | ANDRE | NULL | NULL | 12065092419 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12041983914 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | cc4c5c9ac52be7906f0b6ce08416d241 | BRUNA | NULL | NULL | 12021639117 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3b8a936ea94dad4fcc4c7d08f49543d7 | ARIOVALDO | NULL | NULL | 12044085010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12056341319 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 31585 | RANITIDINA 25 MG/ML 2 ML SI IV IM | 0.0000 | 1.8674 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 4.3400 | 1.7330 | 2.6070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 12572 | KIT CATETER DUPLO LUMEM P/ HEMODIAL | 0.0000 | 183.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 57479 | CATETER DE ACESSO VENOSO CENTRAL UN | 0.0000 | 67.5000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c55205bb9a3e9b1f061210722cf70abd | DIVINA | NULL | NULL | 12056840749 | 29645 | ISOSSORBIDA 10 MG/ML 1 ML SI IV IC | 0.0000 | 4.0386 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011064015 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 91ec20448357f60543ef957c658a4cf6 | VANDEILSON | NULL | NULL | 11996221810 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 12011372720 | 32050038 | TORAX PA | 0.0000 | 15.7530 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 7299723a7cf9bbc33b824d361f0945a3 | ANA | NULL | NULL | 12005386720 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5868 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 457ac34373970defaa1065ab933ba400 | ERONDINA | NULL | NULL | 11995639920 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 6fb82ee377634e4132cfc6e1adcaa8e0 | GABRIEL | NULL | NULL | 12058273620 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | a2bc7c3a9debfd846a4a2f5744b52dfc | LEONIDAS | NULL | NULL | 11978534826 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 12058253627 | 32050054 | TORAX PA LAT | 0.0000 | 14.1474 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 7957243ac3411146b9196692460875aa | RENARLY | NULL | NULL | 12049168821 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12069003524 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1140 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2453 | 0.0047 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 21814 | ATRACURIO 25 MG SI IV AP | 0.0000 | 18.1271 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 10.5556 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 24546 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 | 0.0000 | 40.1468 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 21814 | ATRACURIO 25 MG SI IV AP | 0.0000 | 18.1271 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055992530 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 54780 | ADENOSINA 3 MG/ML 2 ML SI IV AP | 0.0000 | 35.5773 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6754a875500788d12733773c12ef63c2 | JOAO | NULL | NULL | 12045498730 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6754a875500788d12733773c12ef63c2 | JOAO | NULL | NULL | 12045498730 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1573 | 0.0327 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51241 | AGULHA 123X45 | 0.1900 | 0.1494 | 0.0406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0341 | 0.0159 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 78.0708 | 39.0392 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 26.3400 | 20.2590 | 6.0810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3690 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7360 | 0.0740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 11.2800 | 2.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5990 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0700 | 0.3280 | 0.7420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8200 | 0.8188 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1790 | 0.4210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.0900 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51456 | LIDOCAINA 2% S/ VASO SI PE SC ML | 2.3500 | 2.3496 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 5.7600 | 5.7588 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.1930 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.5300 | 0.1930 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.2910 | 0.5090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 52771 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3P13T EV | 28.1300 | 22.9850 | 5.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4260 | 0.1740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 5.5300 | 4.4614 | 1.0686 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1450 | 0.1250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3520 | 0.2480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 333.8000 | 333.7971 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 333.8000 | 333.7971 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7320 | 0.2680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2560 | 0.1440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.6318 | 0.3182 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.2637 | 0.6363 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 4.7700 | 4.7652 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 1.2790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9392 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 01485 | HALOPERIDOL 5 MG/ML 1 ML SI IM IV AP | 2.7700 | 2.7696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cbaf42eb246c625eb565382d1e8337e4 | AMANDA | NULL | NULL | 11971654635 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1510 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5467 | 0.4133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5467 | 0.4133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.0935 | 0.8265 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 50385 | CETOPROFENO 100 MG PO IV FA | 7.7800 | 7.7768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.0900 | 0.0851 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7949 | 0.7951 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00097 | ABOCATH N 14 A 22 UN | 7.5300 | 2.5096 | 5.0204 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0900 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7490 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0180 | 0.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0600 | 0.0330 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2570 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5150 | 0.0850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.1000 | 1.8020 | 0.2980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3910 | 0.3790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3910 | 0.3790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 3.5632 | 2.3768 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2100 | 0.2078 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 29.2000 | 9.7400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 29.2000 | 9.7400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5989 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4700 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1237 | 0.0563 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.0300 | 0.7083 | 0.3217 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4586 | 1.1514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.2932 | 0.0168 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5600 | 0.5293 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2620 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 1.5740 | 0.2260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8163 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.3800 | 0.3747 | 0.0053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3500 | 0.3400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6140 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 33.7970 | 6.7630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2510 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2510 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.4550 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 79.2700 | 71.7276 | 7.5424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5be9a7de43326bbf838dc94853c95876 | MAXIMINA | NULL | NULL | 12041725910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5623c514d28a6c6636efc26764dbb47b | MAURO | NULL | NULL | 12041703411 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 176bd2d982475865252363841584abb1 | MARIA | NULL | NULL | 12058074911 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 626c525f0faf59558b37115e6d4636a3 | ELIAS | NULL | NULL | 12025644115 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986623911 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 642bbecf1186fd10e4b3753ccfdbdaad | JOAO | NULL | NULL | 12075008419 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12004277918 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 535cd6d8e889044eeb79d885ecf55162 | SABRINA | NULL | NULL | 11994422210 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 32f818c70e8b80ce0ff4b9c7031e40b5 | ANDRELINA | NULL | NULL | 12061078716 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | ab2d48fa1f4531c965adf34f6ff66d78 | LACORDIOIRA | NULL | NULL | 12010827914 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 457ac34373970defaa1065ab933ba400 | ERONDINA | NULL | NULL | 11995485716 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6ad4a9ab4dc89538f55ce6498413ed60 | ALEXANDRE | NULL | NULL | 12001671411 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010352615 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 1f41ad493266b73a3773d3be0f94ce97 | HELENA | NULL | NULL | 12072227716 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51503 | Levotiroxina 100mcg - Cp | 0.2400 | 0.1800 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5704ee64cefc35236ec4f397d76ab06a | MARILIA | NULL | NULL | 12052542515 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041605116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | b1ea63aad5ef35f90ca905e2bfea8fde | MERCIA | NULL | NULL | 12014066111 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010894318 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | af9b9225168b94bda5a500957ffa0291 | GERALDINA | NULL | NULL | 12064402811 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 81eb83d46960d954e813ac39a6caf53c | JAMIL | NULL | NULL | 12041636319 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057264911 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | fe9b8435939c822c4b7492163d78802d | MARTA | NULL | NULL | 12065544713 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 11989025710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 8a163cbb3dbfdc1d6293a069887e947e | EDLANIA | NULL | NULL | 12009933511 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | bc2bdd865328d7a5909b80e462542a65 | JULIANA | NULL | NULL | 12011580419 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11986634110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 18bff2e20be5bf25c102efb75070e03a | SEBASTIAO | NULL | NULL | 11993698510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010804811 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 9c845e8d3972fd89861a8f9bc8efc7f9 | AURITA | NULL | NULL | 12061940217 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 967cd6023e1b1a7ff5f4a2de2b5934a0 | RAMON | NULL | NULL | 12010906811 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | d85f65c150c68102a13702e4149884af | RANULFO | NULL | NULL | 11996325619 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7b132da267b47b4614f3cc5326b1b308 | JOAO | NULL | NULL | 12011071118 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5673981678c81ba2e1c263fba08587aa | DARLY | NULL | NULL | 12070761618 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 2a2c74f7cfa78b15dfb278de7e52e681 | ALESSANDRA | NULL | NULL | 12058108519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5ed3e4ef7ef3159c83e34d428263af24 | FIRMINO | NULL | NULL | 12023516519 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2257 | 0.2443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.4550 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2400 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.1130 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5336 | 0.1664 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 5.7900 | 4.2903 | 1.4997 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 5.7900 | 4.2903 | 1.4997 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.1488 | 0.7512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.1488 | 0.7512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0100 | 0.9640 | 0.0460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.3800 | 0.3747 | 0.0053 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3981 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 23.9499 | 2.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.5123 | 0.0077 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.2500 | 0.2466 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5240 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5240 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0200 | 0.6140 | 0.4060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51241 | AGULHA 123X45 | 0.3800 | 0.1810 | 0.1990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51241 | AGULHA 123X45 | 0.1900 | 0.0905 | 0.0995 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51241 | AGULHA 123X45 | 0.1900 | 0.0910 | 0.0990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 2.1700 | 1.4923 | 0.6777 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.3700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 29.2100 | 9.7300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00471 | LIDOCAINA 2% GE OU TP GR | 0.2600 | 0.2571 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 0.6500 | 0.6300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.6400 | 0.3203 | 0.3197 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 51241 | AGULHA 123X45 | 0.7700 | 0.7673 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5400 | 0.4600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51241 | AGULHA 123X45 | 0.4200 | 0.4190 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3330 | 0.2670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 0.2713 | 1.3287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0180 | 0.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3840 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3840 | 0.1260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9384 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1770 | 0.3330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0098 | 0.0402 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.5220 | 0.1480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 50385 | CETOPROFENO 100 MG PO IV FA | 7.7800 | 7.7768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5467 | 0.4133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5467 | 0.4133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1793 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5474 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 13.1687 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 4.3900 | 4.3895 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 5.1000 | 5.0983 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.3431 | 0.3469 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.2637 | 0.6363 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 1.4600 | 1.4539 | 0.0061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.2000 | 0.0000 | 3.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 1.6899 | 2.2501 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 1.6899 | 2.2501 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.7870 | 0.9430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.7870 | 0.9430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 3.2300 | 3.2000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.2000 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 333.8000 | 333.7971 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3520 | 0.2480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1500 | 0.0980 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2670 | 0.2530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2670 | 0.2530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1380 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.7192 | 0.8908 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4740 | 0.1960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4740 | 0.1960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8830 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1797 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 6.4600 | 6.4480 | 0.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5885 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3076 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.1600 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51584 | ESPARADRAPO MICROPORE | 0.3100 | 0.1000 | 0.2100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 54033 | Fio Nylon 3-0 3/8 Triang Ag 1,9 (14503t) | 6.6900 | 6.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2570 | 0.2530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2884 | 0.1916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2884 | 0.1916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 54968 | ELIQUIS TABLET ORAL | 13.4800 | 6.7400 | 6.7400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3630 | 0.0370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00407 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 1.9196 | 0.9604 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 10.1290 | 3.0410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51584 | ESPARADRAPO MICROPORE | 0.5700 | 0.3764 | 0.1936 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51584 | ESPARADRAPO MICROPORE | 0.5500 | 0.3632 | 0.1868 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51241 | AGULHA 123X45 | 0.1900 | 0.1500 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 15016 | NITROPRUSSIATO DE SODIO 50 MG + DIL | 0.0000 | 27.3393 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 23280 | FIO POLYCOT 2.0 S/ AGULHA SPA44T UN | 0.0000 | 10.1952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00485 | AGUA BIDESTILADA 500 ML SI IM IV | 0.0000 | 6.4269 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055992530 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cbaf42eb246c625eb565382d1e8337e4 | AMANDA | NULL | NULL | 11971654635 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cbaf42eb246c625eb565382d1e8337e4 | AMANDA | NULL | NULL | 11971654635 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cbaf42eb246c625eb565382d1e8337e4 | AMANDA | NULL | NULL | 11971654635 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1276 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1279 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00690 | BOLSA COLETORA (SISTEMA FECHADO) UN | 5.9300 | 4.4484 | 1.4816 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1607 | 0.0293 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.4300 | 0.4264 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 17252 | LIDOCAINA 2% GE OU TP GR | 7.7800 | 2.5950 | 5.1850 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6020 | 0.0680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 20.0970 | 4.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 20.0970 | 4.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 4.4300 | 3.3590 | 1.0710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 18.7500 | 4.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.0499 | 0.9101 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0249 | 0.4551 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7800 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 3.6000 | 0.0000 | 3.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 1.3314 | 1.0886 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8300 | 0.6200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 000501 | OXIGENIO | 5.9500 | 4.3390 | 1.6110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 34010068 | TOMOGRAFIA COMPUTADORIZADA DE CRANI | 0.0000 | 208.0025 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954078238 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 2.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978293132 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11954125730 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0266 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11954125730 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6414 | 0.1686 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5477 | 0.1023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.1500 | 3.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 15.2650 | 2.5450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.3130 | 0.6870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1025 | 0.0775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1025 | 0.0775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 1.5360 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 53880 | FIO ACIFLEX 2-0 S/ AG BSS - 28T EV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 09318 | FIO MARCA PASSO E.P15/MP.285 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00167 | FIO ACIFLEX 6 C/ AGULHA 4,80 1/2 - | 0.0000 | 75.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 1.0240 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.0000 | 1.9983 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.0800 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 37761 | ALCOOL ETILICO 70 % ST TP ML | 0.0000 | 0.0900 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.4692 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7080 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.7680 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 29700 | HENETIX (IOBITRIDOL) 300 MG/ML SI | 0.0000 | 359.5000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 000501 | OXIGENIO | 0.0000 | 684.4800 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 52353 | ABAIXADOR DE LINGUA UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4240 | 0.3460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2820 | 0.2280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7110 | 0.2890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7110 | 0.2890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 2.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 2.2200 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.7400 | 2.7370 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 0.7982 | 0.4018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00760 | CLEXANE (ENOXAPARINA) 20 MG SI IV SC SE | 20.0400 | 10.0200 | 10.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7690 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7690 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7690 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.7690 | 0.1310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.2402 | 0.0798 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3870 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.3800 | 0.3587 | 0.0213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.3800 | 0.3587 | 0.0213 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01102 | SONDA FOLEY 2 VIAS N 16 UN | 3.8200 | 1.9087 | 1.9113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0961 | 0.0939 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.5489 | 1.1811 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5600 | 0.3290 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1830 | 0.1270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.1900 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3666 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1580 | 0.3520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 1.4000 | 0.8430 | 0.5570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.8000 | 0.4810 | 0.3190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00182 | SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP | 1.3600 | 0.6787 | 0.6813 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.4270 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 2.6389 | 2.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.6000 | 0.4600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1360 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 1.8700 | 1.8698 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 2.8000 | 2.7998 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1262 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 102001 | DIARIA DE APARTAMENTO | 288.8800 | 216.6659 | 72.2141 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 1.5400 | 1.3696 | 0.1704 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6456 | 0.3544 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.5500 | 2.2920 | 1.2580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.6400 | 0.2135 | 0.4265 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2180 | 0.0420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4160 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1900 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4654 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0500 | 0.0498 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.2800 | 0.7900 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00657 | CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA | 8.1300 | 8.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 01775 | ATADURA CREPOM 30 CM UN | 0.0000 | 14.8084 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 52302 | CLOREXIDINA SL TP BU ML | 0.0000 | 0.2000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 07722 | DRENO DE SUCÇAO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54518 | MIDAZOLAM 5 MG/ML 10 ML SI IV AP | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 17892 | NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 25208 | CORDA GUIA 0,35 (CONVENCIONAL OU HI | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 25151 | CATETER DE DIAGNOSTICO CONVENCIONAL | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 22330 | DIAZEPAM 5 MG/ML 2 ML SI IM IV AP | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7240 | 0.7260 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2490 | 0.0510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9394 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 53070 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV | 36.2700 | 26.2497 | 10.0203 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.8400 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.4200 | 0.2700 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.9600 | 0.6000 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 3.3260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4060 | 0.1040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6140 | 0.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 0.7573 | 6.0627 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4048 | 0.4052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.6204 | 0.3096 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 2.8000 | 1.8673 | 0.9327 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3000 | 0.0628 | 1.2372 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.1800 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 37702 | FIO PROLENE 4.0 C/ AGULHA 2,0 1/2 9 | 0.0000 | 18.3056 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 01929 | ATROPINA 0,50 MG SI IV AP | 0.0000 | 1.2978 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978377635 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978377635 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978377635 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978377635 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 4.7990 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 727ff4bd3e9f38cb2d2a76c2f91acfab | MARIA | NULL | NULL | 12045496735 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12048861430 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 52353 | ABAIXADOR DE LINGUA UN | 0.0000 | 0.0256 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11981598235 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11981598235 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1724a383dc1c66dfc1809fe7b88627b7 | NARA | NULL | NULL | 12018672933 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 2.8794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00485 | AGUA BIDESTILADA 500 ML SI IM IV | 0.0000 | 6.4269 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 34010068 | TOMOGRAFIA COMPUTADORIZADA DE CRANI | 0.0000 | 208.0025 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 09733 | ACETILCISTEINA 600MG PO VO SA | 10.4900 | 10.4850 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 33227 | LUVA CIRURGICA UN | 2.9000 | 2.8900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 09733 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 3.1800 | 3.1768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 23.7500 | 23.7489 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2460 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.5990 | 0.2010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.5020 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.0727 | 0.0573 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8580 | 0.1420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4280 | 0.2420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0170 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0320 | 0.0280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1330 | 0.1270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3498 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3210 | 0.2190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3210 | 0.2190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.9580 | 0.6520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3800 | 0.1400 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3800 | 0.1400 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.9800 | 0.9740 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 1.1676 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4586 | 1.1514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2580 | 0.2520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8159 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00904 | NORIPURUM EV 20 MG/ML 5 ML SI IV AP | 18.8200 | 18.8180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9820 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.4989 | 0.1011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.4989 | 0.1011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.4700 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2900 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01004 | FUROSEMIDA 40 MG CP VO UN | 0.2700 | 0.2300 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01004 | FUROSEMIDA 40 MG CP VO UN | 0.2700 | 0.2300 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01004 | FUROSEMIDA 40 MG CP VO UN | 0.2700 | 0.2200 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 0.6562 | 0.4338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55272 | MITRIPTILINA 25 MG CP VO UN | 0.3500 | 0.2645 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.2100 | 0.2080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 07761 | CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA | 176.7300 | 176.7288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 07761 | CEFEPIMA 2 G + DIL. 3 ML PO IM IV FA | 176.7300 | 176.7288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 25724 | ESOMEPRAZOL MAGNESIO 40 MG CP CP | 9.7300 | 5.3070 | 4.4230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 25724 | ESOMEPRAZOL MAGNESIO 40 MG CP CP | 9.7300 | 5.3070 | 4.4230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 12025557637 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 1.6650 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 19.2400 | 19.2382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.3660 | 0.3040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 0.3490 | 0.9310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1290 | 0.1810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 11.4600 | 7.6400 | 3.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 12.2800 | 8.1880 | 4.0920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 52982 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/8 163T EV | 6.6900 | 6.6870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.0251 | 1.1549 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.0200 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1496 | 0.0304 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1322 | 0.0578 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1322 | 0.0578 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4200 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.4100 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.8300 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2775 | 0.0525 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2775 | 0.0525 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3000 | 0.1900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0630 | 0.1970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 0.3760 | 1.1640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 0.3760 | 1.1640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3394 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8188 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 10.2183 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00563 | ATROPINA 0,50 MG SI IV AP | 0.6500 | 0.3244 | 0.3256 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 2.0570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8876 | 0.0724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1787 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2456 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.1630 | 3.2470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5000 | 0.4190 | 0.0810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 11.4600 | 10.7000 | 0.7600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 22.9200 | 21.3900 | 1.5300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.2179 | 0.3721 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1758 | 0.0042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 1.9229 | 0.5471 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 1.9229 | 0.5471 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 36731 | Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) | 1.9200 | 0.9600 | 0.9600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0800 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 130.0000 | 107.5700 | 22.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51164 | AGUA BIDESTILADA 500 ML | 12.8500 | 12.8471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54678 | LANTUS | 0.5000 | 0.4500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 1.4800 | 0.8646 | 0.6154 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 1.4800 | 0.8646 | 0.6154 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3739 | 0.1061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3425 | 0.0075 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2585 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2585 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2100 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0170 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0170 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.3893 | 0.3807 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 09070 | ACETILCISTEINA 600MG PO VO SA | 3.5000 | 3.4950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2780 | 0.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3000 | 0.1677 | 0.1323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3720 | 0.0280 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3710 | 0.0290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.3830 | 0.1270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01102 | SONDA FOLEY 2 VIAS N 16 UN | 3.8200 | 3.8173 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51379 | SERINGA DESC 05 ML UN | 0.7700 | 0.5767 | 0.1933 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.3750 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5600 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.7494 | 0.2506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.7494 | 0.2506 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0320 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2680 | 1.2120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2580 | 1.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2580 | 1.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2580 | 1.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.2000 | 0.0000 | 1.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7138 | 0.0962 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7138 | 0.0962 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00480 | PROTAMINA 1000 UI/ML 5 ML SI IV AP | 13.6200 | 13.6193 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 11.6800 | 10.0090 | 1.6710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51241 | AGULHA 123X45 | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.3493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.3493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5748 | 2.7052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2257 | 0.2443 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4500 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51218 | TICAGRELOR 90 MG CP VO UN | 7.7600 | 6.7900 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 37729 | FIO VICRYL 0 C/ AGULHA 3,7 5/8 J376 | 0.0000 | 36.1372 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 19.1586 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.4700 | 0.4100 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 4.6900 | 4.6650 | 0.0250 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54653 | DERSANI LC TP ML | 19.4000 | 14.5500 | 4.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.2500 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 8.4614 | 1.0086 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8950 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 0.6600 | 0.5500 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.4200 | 1.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.4200 | 1.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 52a3cd163ff151fa2ae68e29ca0d6ca0 | LORENA | NULL | NULL | 12065582616 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 8ddb16177cedb1fb83e6abddbb50384a | DILMA | NULL | NULL | 12048377818 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12014684319 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | ef303a8d36c5b4e6c8c780cc590f4b99 | MARIA | NULL | NULL | 12018119714 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 0a9e260cfa91fa116d4619daf187a5ad | GILMAR | NULL | NULL | 12006973916 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 40090060 | Implante de Endo - Prótese Intracoronária | 0.0000 | 0.0000 | NULL | PROCEDIMENTO MULTIPLO COM PROCEDIME | 0413 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 07315 | DIPROSALIC (DIPROPIONATO DE BETAMET | 0.0000 | 0.7483 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 19401 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1691 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 19401 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 1.0000 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 07315 | DIPROSALIC (DIPROPIONATO DE BETAMET | 0.0000 | 0.7483 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 09340 | LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS | 105.6800 | 105.6774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 26083 | Prolopa 50/200mg Cp. | 2.1200 | 2.1100 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 12058221919 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987118 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.4200 | 1.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.4200 | 1.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.4200 | 1.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 6.6000 | 5.4300 | 1.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 8.4614 | 1.0086 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.2600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54653 | DERSANI LC TP ML | 19.4000 | 14.5500 | 4.8500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 38.7380 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.4500 | 0.2700 | 0.1800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01400 | ALPRAZOLAM 0,5 MG CP VO UN | 0.4700 | 0.4100 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 21865 | ACIDO TRANEXAMICO 50 MG/ML 5 ML SI | 0.0000 | 17.5396 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 19.1586 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 52726 | SUFENTANILA 50 MCG/ML 1 ML SI IV PE AP | 19.1600 | 19.1587 | 0.0013 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00826 | TRANSAMIN (ACIDO TRANEXAMICO) 50 MG/ML 5 ML SI I | 13.1500 | 3.2893 | 9.8607 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4500 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4500 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 55019 | CATETER BALAO P/ ANGIOPLASTIA CORONARIA | 460.0000 | 306.6700 | 153.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.3493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.3493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6600 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.6817 | 1.0483 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 9.5000 | 0.0000 | 9.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2580 | 1.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2580 | 1.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2580 | 1.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2670 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2671 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1840 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 04242 | HEPARINA 5000 UI/ML 5 ML SI IV SC ML | 2.8800 | 2.8794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.8000 | 1.7960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5780 | 0.1920 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4570 | 0.2130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1970 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0900 | 0.0280 | 0.0620 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5988 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2780 | 0.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.7000 | 0.0595 | 0.6405 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.3600 | 0.0306 | 0.3294 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.1559 | 0.1341 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2578 | 0.2522 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2584 | 0.2516 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7290 | 0.2710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 5.3100 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 1.1656 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2200 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.5500 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3930 | 0.2070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3930 | 0.2070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1960 | 0.1040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1960 | 0.1040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5071 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.6150 | 2.1550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3425 | 0.0075 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1762 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1762 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1720 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4285 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 130.0000 | 107.5700 | 22.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54172 | DIETA DIABETES 1.5 KCAL/ML | 130.0000 | 107.5800 | 22.4200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0800 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 9.3023 | 0.9177 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 2.7200 | 0.0000 | 2.7200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 1.9229 | 0.5471 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 1.9229 | 0.5471 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.8000 | 0.6020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 2.0310 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 2.0310 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 2.4000 | 2.0310 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.4358 | 0.7442 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.2179 | 0.3721 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 02254 | METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL | 97.1500 | 97.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 02254 | METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL | 48.5700 | 48.5690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2400 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2500 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 2.1500 | 2.1490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7593 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.9200 | 0.9197 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 11.4600 | 10.7000 | 0.7600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8955 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5899 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.3673 | 2.3627 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.6400 | 1.6397 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7694 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5300 | 0.5280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.0000 | 0.6700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8876 | 0.0724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4438 | 0.0362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.7030 | 2.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.7060 | 2.0240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.4420 | 0.1780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 1.5400 | 0.3760 | 1.1640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3600 | 0.2200 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2780 | 0.0520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.2644 | 0.1156 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.0125 | 0.5775 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.0130 | 0.5770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 38.4800 | 38.4764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 38.4800 | 38.4764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 38.4800 | 38.4764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 31488 | PARACETAMOL 750 MG CP VO UN | 0.9100 | 0.9050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 12025557637 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b52362d3a610c4e0534f4432889d949f | ROSICLER | NULL | NULL | 12000231948 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 19143 | SERINGA DESC 05 ML UN | 0.0000 | 0.5766 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 000501 | OXIGENIO | 7.4400 | 5.7300 | 1.7100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00796 | FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO | 8.8900 | 8.8878 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 2.0594 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6697 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3298 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 0.6562 | 0.4338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 0.6562 | 0.4338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 0.6562 | 0.4338 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.3319 | 0.2181 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9617 | 0.2283 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2800 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2900 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.4990 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9820 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9910 | 0.3490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.4690 | 0.3010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5500 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5494 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00904 | NORIPURUM EV 20 MG/ML 5 ML SI IV AP | 18.8200 | 18.8150 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1140 | 0.3960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.3072 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4586 | 1.1514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00238 | ATADURA CREPOM 15 CM UN | 2.3300 | 2.3254 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00238 | ATADURA CREPOM 15 CM UN | 1.1700 | 1.1679 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.6030 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3800 | 0.1300 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3800 | 0.1400 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3800 | 0.1400 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.9580 | 0.6520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3210 | 0.2190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3210 | 0.2190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5700 | 1.5778 | 0.9922 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 1.4000 | 0.7880 | 0.6120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.2250 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.5310 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.5310 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1810 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 33227 | LUVA CIRURGICA UN | 2.9000 | 2.8900 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 33162 | NISTATINA CV VG GR | 0.0900 | 0.0851 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 09733 | ACETILCISTEINA 600MG PO VO SA | 10.4900 | 10.4850 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1560 | 0.1040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7770 | 0.2230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 10944 | HALOPERIDOL 1 MG CP VO UN | 0.0000 | 0.2160 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 20559 | SORO FISIOLOGICO 0,9% 250 ML SI IV | 0.0000 | 7.8894 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 20370 | SONDA URETRAL Nş 12 UN | 0.0000 | 0.7558 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | e62147ff07f4694792ce35a9aade6f6e | TEREZINHA | NULL | NULL | 11986486438 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062513339 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062513339 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062513339 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062513339 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 6.3472 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1724a383dc1c66dfc1809fe7b88627b7 | NARA | NULL | NULL | 12018672933 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11981598235 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 08435 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL | 0.0000 | 20.2784 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b36659d93b01d8bbfc6c7f71fd7c04e7 | MARIA | NULL | NULL | 12048861430 | 20613 | SORO GLICOSADO 5% 250 ML SI IV BS | 0.0000 | 3.3952 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 727ff4bd3e9f38cb2d2a76c2f91acfab | MARIA | NULL | NULL | 12045496735 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8075482bdf5fba549cda9a6d88f2de40 | LUZIA | NULL | NULL | 12051278642 | 34010068 | TOMOGRAFIA COMPUTADORIZADA DE CRANI | 0.0000 | 208.0025 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 55107 | MORFINA 0,2 MG 1 ML SI IV PE IT FR | 0.0000 | 8.2890 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 20931 | SULFATO DE MAGNESIO 100 MG/ML 10 ML | 0.0000 | 1.8956 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 3.4971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.8600 | 0.9300 | 0.9300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00493 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 2.7300 | 2.7288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4048 | 0.4052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.3786 | 3.0314 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2310 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2330 | 0.0670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.8400 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.5700 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.5700 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.5700 | 0.5100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.1600 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.1600 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.1600 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.4431 | 0.3669 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 17.8082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9394 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9394 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0900 | 0.0770 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7260 | 0.7240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 0.0000 | 3.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 2.8400 | 2.8340 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 27308 | FIO MONOCRYL 5-0 C /AGULHA 1,65 45 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 28959 | DERSANI LC TP ML | 0.0000 | 9.7000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 24430 | FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 | 0.0000 | 20.0607 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 29815 | MANIFOLD DESCARTAVEL UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 24546 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 17205 | FIO VICRYL 4-0 C/ AGULHA 1,95 J196 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 28959 | DERSANI LC TP ML | 0.0000 | 9.7000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 18333 | ALFENTANILA 0,544 MG/ML 5 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 11304 | HIDROCORTISONA 500 MG PO IM IV FA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 19135 | SERINGA DESC 03 ML UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1781 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6130 | 0.5970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00735 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5000 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 51584 | ESPARADRAPO MICROPORE | 0.7900 | 0.7857 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5710 | 0.4290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5710 | 0.4290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4160 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4160 | 0.0940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.4100 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0521 | 0.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0521 | 0.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51241 | AGULHA 123X45 | 0.1900 | 0.0521 | 0.1379 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1610 | 0.0190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51379 | SERINGA DESC 05 ML UN | 0.0000 | 1.7298 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 5.9200 | 5.9060 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 102001 | DIARIA DE APARTAMENTO | 288.8800 | 216.6659 | 72.2141 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 102001 | DIARIA DE APARTAMENTO | 288.8800 | 216.6660 | 72.2140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 12.4000 | 4.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 12.4000 | 4.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.4371 | 0.7429 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.4371 | 0.7429 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7900 | 0.1516 | 0.6384 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51584 | ESPARADRAPO MICROPORE | 0.0300 | 0.0059 | 0.0241 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51241 | AGULHA 123X45 | 0.5700 | 0.0000 | 0.5700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3476 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2660 | 0.2440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.1140 | 0.5760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0200 | 0.6724 | 0.3476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2700 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1720 | 0.1380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 23.3600 | 23.3550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 17.5200 | 17.5180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 0.6400 | 1.9200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3976 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.3100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 2.6389 | 2.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 2.6389 | 2.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 52e5f84bf44cf5b2408012e2d3609b04 | ROSA | NULL | NULL | 11996276120 | 32050038 | TORAX PA | 0.0000 | 15.7530 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 5b588b1db1fe12e061ed2cd7e92b49be | NEUSA | NULL | NULL | 11989859024 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 5cb8acec08495318d2d1c6ec0d7b2952 | MARIA | NULL | NULL | 12047898329 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010482825 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 642bbecf1186fd10e4b3753ccfdbdaad | JOAO | NULL | NULL | 12075655420 | 32050038 | TORAX PA | 0.0000 | 15.7530 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | feca6744faebaae3c6b10bad493c5b70 | ANESIA | NULL | NULL | 11994495923 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | ef303a8d36c5b4e6c8c780cc590f4b99 | MARIA | NULL | NULL | 12018175025 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 7b132da267b47b4614f3cc5326b1b308 | JOAO | NULL | NULL | 12011237921 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 980ccb948cab432b3def0704b4d08e43 | THIAGO | NULL | NULL | 12041846110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2270 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.7900 | 0.5520 | 1.2380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 41.7985 | 10.4515 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.8600 | 0.8810 | 0.9790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0256 | 0.0244 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1728 | 0.0172 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 11.1400 | 10.1279 | 1.0121 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51241 | AGULHA 123X45 | 0.1900 | 0.1793 | 0.0107 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3870 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2457 | 0.2643 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0680 | 0.0320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.4000 | 0.3200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 4.4537 | 1.4863 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 1.3200 | 1.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.3994 | 0.2006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.7400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 992ce258cf73e450d019e370c7b0e144 | RENNE | NULL | NULL | 11958235131 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 20010010 | Eletrocardiograma - Ecg | 66.1200 | 55.0900 | 11.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7110 | 0.2890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2810 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 60038 | BISOPROLOL 5 MG CP VO UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 32204 | CLORETO DE SODIO 0,9% 10 ML SI IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 19216 | SEVOFLURANO 1 ML/ML (100%) SL IN M | 0.0000 | 503.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 07900 | ETILEFRINA 10 MG/ML 1 ML SI IM IV | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 57495 | FILTRO BARREIRA E REGENERADOR DE CA | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 11100 | HEMOSTATICO - CELULOSE ALTA DENSIDA | 0.0000 | 117.0100 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 01724 | ATADURA CREPOM 10 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 20621 | SORO GLICOSADO 5% 500 ML SI IV BS | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0122ed49f08bf325865d8db5dbfce9ab | MIGUEL | NULL | NULL | 11616325540 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 38210 | FIO ETHIBOND 5.0 C/ AGULHA 1,5 B550 | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 902001 | PLANTAO DE UTI POR PACIENTE (HONORA | 0.0000 | 350.6704 | NULL | INTERNACAO EM UTI IRREGULAR E/OU NA | 0303 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 23990 | FIO POLYCOT 2-0 C/ AGULHA 3,0 3/8 3 | 0.0000 | 15.2696 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 000501 | OXIGENIO | 0.0000 | 194.6800 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 000435 | TAXA DE RESPIRADOR A VOLUME (MAI) | 0.0000 | 71.5504 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 000501 | OXIGENIO | 0.0000 | 151.2800 | NULL | GLOSA EM SERVICOS HOSPITALARES | 0300 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13757 | IODOPOVIDONA SD TP ML | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 25040014 | ASSISTENCIA FISIATRICA RESPIRATORIA | 0.0000 | 159.6660 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 160.4848 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 1.8830 | 1.8870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00124 | LUVA CIRURGICA UN | 5.7900 | 4.0516 | 1.7384 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00124 | LUVA CIRURGICA UN | 5.7900 | 4.0516 | 1.7384 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1600 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.1286 | 3.2814 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 337.4100 | 12.7320 | 324.6780 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5477 | 0.1023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3167 | 0.0833 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5494 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8160 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8095 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.3300 | 0.4700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954078238 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954078238 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 1.1657 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 07293 | DIPIRONA GOTAS 500 MG/ML SO VO GT | 0.0000 | 0.8680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 34010173 | TOMOGRAFIA COMPUTADORIZADA DE ABDOM | 0.0000 | 477.0390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f34d6de69c60ac524337ab75bc67d951 | LAURA | NULL | NULL | 11978562437 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 2.9500 | 2.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 20.0970 | 4.4630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1410 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2770 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51242 | SONDA DOBBHOFF (P/ ALIMENTAÇÃO ENTERAL) UN | 38.8100 | 19.4073 | 19.4027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 17252 | LIDOCAINA 2% GE OU TP GR | 7.7800 | 2.5930 | 5.1870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.4348 | 0.0452 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 2.6091 | 0.2709 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1653 | 0.0247 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0600 | 0.6470 | 0.4130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01103 | SONDA FOLEY 2 VIAS N 18 UN | 3.8200 | 1.9087 | 1.9113 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.3768 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cbaf42eb246c625eb565382d1e8337e4 | AMANDA | NULL | NULL | 11971654635 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055992530 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 2.8794 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6754a875500788d12733773c12ef63c2 | JOAO | NULL | NULL | 12045498730 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.3540 | 0.1660 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 78.0710 | 39.0390 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 2.7616 | 0.6384 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.7689 | 0.6411 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 13.1700 | 10.1290 | 3.0410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 113.9600 | 91.1622 | 22.7978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 11.2800 | 2.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1720 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5400 | 0.1650 | 0.3750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5400 | 0.1650 | 0.3750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2915 | 0.1885 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00563 | ATROPINA 0,50 MG SI IV AP | 0.6500 | 0.6490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8200 | 0.8188 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.8800 | 1.8773 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2550 | 0.2550 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0890 | 0.2110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.0890 | 0.2110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.1790 | 0.4210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 2.5896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1930 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8097 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8097 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.2393 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 7.9400 | 7.9391 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.4260 | 0.1740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.8500 | 0.8400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1380 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.1380 | 0.1320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1470 | 0.1130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 1.2970 | 1.2930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 250.3500 | 250.3478 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8000 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 3.2300 | 3.2000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7350 | 0.2650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 1.6899 | 2.2501 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0400 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0400 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.1600 | 0.1374 | 0.0226 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5470 | 0.0530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.8200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 1.7900 | 1.7890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 03081 | AMIODARONA 50 MG/ML 3ML SI IV AP | 4.3900 | 4.3899 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.8600 | 1.8500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.3072 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5467 | 0.4133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.2000 | 0.1100 | 1.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 2.4000 | 0.2100 | 2.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 60038 | BISOPROLOL 5 MG CP VO UN | 2.0200 | 2.0156 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.6400 | 0.0000 | 0.6400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1266 | 0.3234 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1266 | 0.3234 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2200 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2570 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7790 | 0.2210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0900 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3086 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3085 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0180 | 0.0120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.0300 | 0.0054 | 0.0246 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2600 | 8.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 2.3058 | 2.3042 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0320 | 0.0180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51241 | AGULHA 123X45 | 0.6200 | 0.6190 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51241 | AGULHA 123X45 | 0.8100 | 0.8090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51241 | AGULHA 123X45 | 0.8100 | 0.8090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 51241 | AGULHA 123X45 | 0.5800 | 0.5781 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3200 | 0.3150 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5043 | 0.0057 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.6400 | 0.3203 | 0.3197 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5790 | 0.8710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5790 | 0.8710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 0.0000 | 20.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2570 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2570 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2570 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 3.5629 | 2.3771 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2747 | 13.1753 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0200 | 0.6140 | 0.4060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.2930 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5240 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.5123 | 0.0077 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.5123 | 0.0077 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 23.9499 | 2.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00169 | SORO GLICOSADO 5% 500 ML SI IV BS | 10.3800 | 10.3744 | 0.0056 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4268 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4268 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6140 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51419 | FILTRO DE BARREIRA | 24.0000 | 12.0000 | 12.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5495 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 54157 | EQUIPO P/ DIETA ENTERAL UN | 1.7000 | 1.5333 | 0.1667 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 16.9000 | 3.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2510 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2360 | 0.0340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 66.0600 | 59.7745 | 6.2855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 68.8500 | 62.2990 | 6.5510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | d9eea4d8c42803b7877cc1c4d032a11c | DIOGENES | NULL | NULL | 12022255211 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 727ff4bd3e9f38cb2d2a76c2f91acfab | MARIA | NULL | NULL | 12045495611 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6754a875500788d12733773c12ef63c2 | JOAO | NULL | NULL | 12045496010 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 710b26047232891c7aff59a1c6c4b8ab | ANA | NULL | NULL | 12022256611 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12003565310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 52339d70d59c638f8ef91d6b30010ff8 | VALDIVINO | NULL | NULL | 12011233118 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3e7f0ede069114530375b4bf02de23fb | HELENA | NULL | NULL | 12077466718 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 72c33ead971af5baf1eca656499a45a0 | TEREZA | NULL | NULL | 12068783019 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 0bb56c1ec8c5f5d0dd5db0ad1fc34265 | OZEAS | NULL | NULL | 11993319313 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 56288c8d6a0fb04a7c4b959fa1f80a61 | TATIANA | NULL | NULL | 11996435915 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11994738718 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7273473e1aa785b9eec272b40835badd | DINAIDES | NULL | NULL | 12011623614 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12010112815 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51503 | Levotiroxina 100mcg - Cp | 0.2400 | 0.1800 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 8e9deacb137a6da2e51f2508aa9aefff | MARIA | NULL | NULL | 12064003719 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 2.9000 | 1.1580 | 1.7420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 0009ba6bad5451e560474ca63122de13 | EVALDO | NULL | NULL | 12057956014 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | cc07ec94105cc875f2cb659db6b3e681 | PEDRO | NULL | NULL | 12048834710 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.0458 | 0.1342 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.4500 | 0.0000 | 0.4500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 06501 | ATORVASTATINA CALCICA 20 MG CP VO UN | 2.8600 | 1.4300 | 1.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 13749 | MARCAPASSO CARDIACO MULTIPROGRAM. C | 0.0000 | 4324.3398 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 14191 | OMEPRAZOL 20 MG CA VO UN | 0.9000 | 0.5400 | 0.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.4297 | 0.2603 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 52.3300 | 52.3278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 52.3300 | 52.3278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.3330 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.5617 | 0.0583 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3856 | 0.0144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3856 | 0.0144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 13.6286 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4096 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 110.9800 | 100.9021 | 10.0779 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 05444 | CLORETO DE POTASSIO 15% 10 ML SI I | 0.0000 | 1.7155 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 10723 | GLICONATO DE CALCIO 100 MG/ML10ML S | 0.0000 | 5.8064 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 16031 | CISATRACURIO 10 MG 5 ML SI IV AP | 60.2700 | 60.2690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.6280 | 0.1720 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2796 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.3070 | 2.4830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.3100 | 2.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 1.0898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 1.0900 | 1.0898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5498 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 01603 | GLICOSE 50% 10 ML SI IV AP | 0.5500 | 0.5498 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.2800 | 0.2840 | 0.9960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.1710 | 0.5990 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1130 | 0.3970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 160.3400 | 160.3371 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6179 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3995 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.7700 | 0.2560 | 0.5140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2100 | 0.1600 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6400 | 0.5400 | 1.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5700 | 0.1900 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3000 | 1.2940 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8300 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2400 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2590 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 2.6600 | 2.4900 | 0.1700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9400 | 1.7407 | 0.1993 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.6630 | 0.2370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1832 | 0.1368 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2665 | 0.2535 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7300 | 1.3013 | 0.4287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54295 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL FOTOSENSIVEL UN | 37.0600 | 0.0000 | 37.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.6300 | 0.6228 | 0.0072 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.3721 | 0.1179 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00124 | LUVA CIRURGICA UN | 4.3400 | 3.8600 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.0952 | 0.0948 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0901 | 0.0899 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4100 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4200 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 0.9000 | 0.4700 | 0.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 25.7400 | 25.7357 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1600 | 9.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1600 | 9.3700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1700 | 9.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9850 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 78.3800 | 78.3710 | 0.0090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.5600 | 1.8200 | 0.7400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1900 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3090 | 0.2010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.5000 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 2.1830 | 1.1470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4390 | 0.2310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6661 | 0.3339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51584 | ESPARADRAPO MICROPORE | 0.5400 | 0.3324 | 0.2076 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1600 | 0.1000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1604 | 0.0996 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7000 | 1.6170 | 0.0830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.1650 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0240 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2408 | 0.0292 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5897 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 7.8900 | 4.5542 | 3.3358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1190 | 0.1810 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 4.8301 | 0.3499 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4960 | 0.0440 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00098 | ABOCATH N 14 A 22 UN | 7.5300 | 7.5290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.6290 | 0.1410 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.6510 | 0.1590 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.5838 | 0.3362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00174 | Soro Ringer C/ Lactato Bolsa C/ 500ml | 5.2800 | 5.2796 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1261 | 0.1339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1781 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2166 | 0.0534 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5888 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.8580 | 1.9320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.2835 | 0.2365 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.9200 | 0.9197 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.6900 | 0.4630 | 1.2270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3692 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3420 | 0.1880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0900 | 0.6690 | 0.4210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.7980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8140 | 0.1860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1067 | 0.2133 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 2.0500 | 1.5380 | 0.5120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9394 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1267 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5347 | 0.1153 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5345 | 0.1155 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3489 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 3.3300 | 2.0800 | 1.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.2092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.6200 | 1.6189 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 5.4900 | 5.4850 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c6ef9b3a938dcace584e8507498ac36c | ANA | NULL | NULL | 12018723531 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c6ef9b3a938dcace584e8507498ac36c | ANA | NULL | NULL | 12018723531 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 23280 | FIO POLYCOT 2.0 S/ AGULHA SPA44T UN | 0.0000 | 5.0976 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 5.1752 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 0.5474 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6e7867baf54290b69dedfa10708cbac4 | CELIA | NULL | NULL | 11986625237 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 57835 | SORO FISIOLOGICO 0,9% 100 ML SI IV | 0.0000 | 3.4082 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 1.0760 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 14346 | FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 | 0.0000 | 6.1596 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d9eea4d8c42803b7877cc1c4d032a11c | DIOGENES | NULL | NULL | 12022270236 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d9eea4d8c42803b7877cc1c4d032a11c | DIOGENES | NULL | NULL | 12022270236 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065606932 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 9b65f2202885374f7f09866cef011fad | EDUARDO | NULL | NULL | 12065606932 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.3075 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | fc8deaa91dafa558065663b93ad4265b | ELEUS | NULL | NULL | 11978431936 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | b8f2630acf0029f6b9a73d39b3900c7a | EMMANUEL | NULL | NULL | 11978345337 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 5.2778 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.7200 | 0.4900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1830 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1950 | 0.0650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1340 | 0.3960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00487 | RANITIDINA 25 MG/ML 2 ML SI IM IV AP | 0.9300 | 0.7639 | 0.1661 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3385 | 1.7415 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 24571 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 13.0800 | 11.3373 | 1.7427 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0600 | 0.2400 | 0.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041625235 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041625235 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 33545 | PIPERACILINA 4 G + TAZOBACTAM 500 M | 0.0000 | 83.4493 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f913269eaafe75df7b7aad5983f78bcf | JULIA | NULL | NULL | 12058051532 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 34010130 | TOMOGRAFIA COMPUTADORIZADA DO TORAX | 0.0000 | 280.6875 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 10.5556 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 33010358 | DOPPLER COLORIDO DE TRES OU MAIS VA | 0.0000 | 208.3785 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12024167136 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 24546 | FIO VICRYL 1 C/ AGULHA 5,0 1/2 J371 | 0.0000 | 40.1468 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 51314 | ZOLPIDEM 10 MG CP VO UN | 0.0000 | 1.2796 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01546 | METARAMINOL 10 MG 1 ML SI IM SC IV | 0.0000 | 4.5060 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 17760 | FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9 | 0.0000 | 30.1677 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 2.9000 | 1.6083 | 1.2917 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5170 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2749 | 1.6651 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.2742 | 1.6658 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 7.8900 | 4.5542 | 3.3358 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2321 | 0.0279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0240 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2430 | 0.0570 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7000 | 1.6170 | 0.0830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 000501 | OXIGENIO | 212.7800 | 210.5960 | 2.1840 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2210 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6550 | 0.3450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1570 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1570 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 1.5400 | 0.9350 | 0.6050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 0.8530 | 0.3470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.3700 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.5400 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4077 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8155 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 28.4900 | 28.4860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9850 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 4.1700 | 9.3600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 54685 | POLVIDINE ALCOOLICA | 0.6000 | 0.3100 | 0.2900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00175 | SORO FISIOLOGICO 0,9% 1000 ML SI IV BS | 35.0300 | 35.0290 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4100 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.0901 | 0.0899 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2550 | 0.0750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.5170 | 0.1530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1602 | 0.1598 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.5800 | 0.3200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 0.7943 | 0.7957 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 12880 | EQUIPO P/ BOMBA DE INFUSAO PARENTERAL UN | 27.0800 | 0.0000 | 27.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 1.2400 | 1.1812 | 0.0588 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.7300 | 1.3013 | 0.4287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51419 | FILTRO DE BARREIRA | 24.0000 | 9.0000 | 15.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2662 | 0.2538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.9600 | 0.5490 | 0.4110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.7321 | 0.5479 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 1.2800 | 0.7321 | 0.5479 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3410 | 0.1090 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.3310 | 0.1190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5000 | 0.4486 | 0.0514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9800 | 0.8793 | 0.1007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 04938 | LOSARTANA 50 MG CP VO UN | 1.3300 | 1.2500 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0160 | 0.0140 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4963 | 0.0937 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4955 | 0.0945 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1895 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51241 | AGULHA 123X45 | 0.0000 | 2.3064 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7040 | 0.2960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.1760 | 0.4940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 54678 | LANTUS | 0.4500 | 0.4200 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 54678 | LANTUS | 0.5000 | 0.4600 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.6400 | 2.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.6400 | 2.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.6300 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51514 | ATORVASTATINA CALCICA 40 MG CP VO UN | 6.1800 | 3.6300 | 2.5500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1374 | 0.1226 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1910 | 0.3190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8089 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 00743 | OXACILINA 500 MG + DIL. 3 ML PO IM IV FA | 9.0800 | 9.0795 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2bcdc3cbedb73a0db271ac09d4587a1 | ORDETE | NULL | NULL | 12057315547 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.3071 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 160.3400 | 160.3373 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 1.0700 | 1.0620 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.9700 | 0.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0070 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | e697d2f26c0a8948997ea1e5881a86f7 | VANIA | NULL | NULL | 12003596049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8097 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.2440 | 0.2460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.2437 | 0.2463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.2437 | 0.2463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 3.3070 | 2.4830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3669 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 54294 | ZOLPIDEM 10 MG CP | 1.2800 | 1.2796 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3430 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 20923 | SULFATO DE MAGNESIO 500 MG/ML 10 ML | 0.0000 | 1.3573 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 83.2400 | 75.6811 | 7.5589 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 110.9800 | 100.9021 | 10.0779 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 13.6300 | 13.6286 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3874 | 0.0126 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3856 | 0.0144 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7808 | 0.0292 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 2.3330 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8957 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 52.3300 | 52.3278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 52.3300 | 52.3278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00613 | CLINDAMICINA 600 MG 4 ML SI IM IV AP | 52.3300 | 52.3278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.4297 | 0.2603 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.4297 | 0.2603 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 06501 | ATORVASTATINA CALCICA 20 MG CP VO UN | 2.8600 | 1.4300 | 1.4300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5229 | 0.0671 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 2.4900 | 2.4870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 52392 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN | 4.9700 | 4.9640 | 0.0060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | fe3b527a0c8f53b82c401f1841646ced | HUGO | NULL | NULL | 12015190510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3d57ded22172940a3312c4a3ec0198a9 | WAGNER | NULL | NULL | 12029428413 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 8546e34bf7edc71e67c0784742b64a6b | JULIA | NULL | NULL | 12041840715 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 7762743f166ed136b53ad6f351945a8e | TEREZA | NULL | NULL | 12021373319 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | aae71ae8ae0e2783c5026f191ddafdcf | JOAO | NULL | NULL | 12048823215 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 739226c5a7fb08d5b14a4866f2a25cef | DANILO | NULL | NULL | 12007066013 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12014685817 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6bdc4761c1d45371dceaa93a42443dd8 | JEHANE | NULL | NULL | 12044260719 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | f60769e211fe97760b15ee948a43c4cc | RINALDO | NULL | NULL | 12041856116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 23256 | LAMINA P/ TRICOTOMIA UN | 0.0000 | 0.4484 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.5100 | 0.4000 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00558 | LAMINA BISTURI N 20, 22 E 24 UN | 0.0000 | 3.7922 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 14370 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ | 0.0000 | 6.6869 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.6700 | 0.6700 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 19400 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1686 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12058455121 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 1724a383dc1c66dfc1809fe7b88627b7 | NARA | NULL | NULL | 12018674820 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 2174af77ddf8522a9df5f5ad05798a0a | SYLAS | NULL | NULL | 12058312129 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 11.5710 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | ee46182a5d49d09e9b26f020c3d4ceea | ARTHUR | NULL | NULL | 12067466920 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 7273473e1aa785b9eec272b40835badd | DINAIDES | NULL | NULL | 12011631625 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | a0c4d7ed88b6840d5430359e4012ae60 | EDNA | NULL | NULL | 12072321825 | 32050054 | TORAX PA LAT | 0.0000 | 14.1474 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 642bbecf1186fd10e4b3753ccfdbdaad | JOAO | NULL | NULL | 12075971529 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 114387113ee32b6d1eaa515c270293af | MARIA | NULL | NULL | 12010902625 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | b1ea63aad5ef35f90ca905e2bfea8fde | MERCIA | NULL | NULL | 11998393529 | 32020074 | COLUNA LOMBO SACRA C OBLIQUAS E COM | 0.0000 | 30.8845 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 3d59def7b386631d5b4fd7249cb9ced6 | ONDUMAR | NULL | NULL | 11995796529 | 32050054 | TORAX PA LAT | 0.0000 | 20.2105 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1040661 | 56288c8d6a0fb04a7c4b959fa1f80a61 | TATIANA | NULL | NULL | 11996447827 | 20010010 | ECG ELETROCARDIOGRAMA | 0.0000 | 16.5300 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5070 | 0.0330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5170 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5170 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5170 | 0.0230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.8041 | 0.6459 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 11134 | HEPARINA 5000 UI/ML 5 ML SI IV SC | 0.0000 | 14.3970 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12025233835 | 15210 | NORIPURUM EV 20 MG/ML 5 ML SI IV | 0.0000 | 9.4080 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 96e37d2e9503bcb718ad211582d8b508 | PATRICIA | NULL | NULL | 12025233835 | 00558 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - | 0.0000 | 0.2050 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 33170 | TENOXICAN 20 MG CP VO UN | 0.0000 | 1.8260 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055368532 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11982584931 | 11290 | HIDROCORTISONA 100 MG PO IM IV FA | 0.0000 | 5.6696 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f2ab8310b8be90400bb8fd6263bc4866 | MARIA | NULL | NULL | 12058017030 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 22748 | LIDOCAINA 2% GE TP OU GR | 0.0000 | 0.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12024167136 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 13404 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV | 0.0000 | 19.5772 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978397843 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006835339 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.1770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006835339 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 0.0000 | 37.9856 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 61fd80435c4278b11d9c8303654f21e8 | JOAQUIM | NULL | NULL | 12057981330 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1200 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00802 | COLCHICINA 1 MG CP VO UN | 1.9700 | 1.6900 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01491 | FENITOINA 100 MG CP VO UN | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 11473 | CLONIDINA 0,200 MG CP VO UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.1560 | 1.5740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7600 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7700 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00541 | AMIODARONA 200 MG CP VO UN | 0.8400 | 0.7700 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.5814 | 0.2286 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2871 | 0.1129 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8950 | 2.8950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8d6848e10fddc81a9fe53f5699419196 | TEREZINHA | NULL | NULL | 11989405246 | 51241 | AGULHA 123X45 | 0.1900 | 0.0000 | 0.1900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7688 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00124 | LUVA CIRURGICA UN | 5.7900 | 4.4990 | 1.2910 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1270 | 0.3230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1830 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1830 | 0.1370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 44001 | BOLSA COLETORA (SISTEMA ABERTO) UN | 0.3200 | 0.1832 | 0.1368 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1775 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12043368843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f503e49355bb39c8e379397546306926 | ANA | NULL | NULL | 12045252444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f503e49355bb39c8e379397546306926 | ANA | NULL | NULL | 12045252444 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2570 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f503e49355bb39c8e379397546306926 | ANA | NULL | NULL | 12045252444 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9260 | 0.0740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9290 | 0.0710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 000501 | OXIGENIO | 15.8700 | 12.3300 | 3.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51181 | POVIDINE TINTURA | 1.2000 | 0.5000 | 0.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f82ec15fe55a2875494e6b142c852e4d | ENY | NULL | NULL | 11965942831 | 33219 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.0000 | 0.6660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12063132631 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d9eea4d8c42803b7877cc1c4d032a11c | DIOGENES | NULL | NULL | 12022270236 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | d9eea4d8c42803b7877cc1c4d032a11c | DIOGENES | NULL | NULL | 12022270236 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 9.4690 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 0.2055 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad2301bbf91fe6897e1b80657cb18e9d | DALVA | NULL | NULL | 11904301446 | 20567 | SORO FISIOLOGICO 0,9% 500 ML SI IV | 0.0000 | 18.9380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 2.3995 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | a928a0e5dfe9a728254d0d5e9dcbf1d0 | BERTOLINA | NULL | NULL | 12030448230 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | a928a0e5dfe9a728254d0d5e9dcbf1d0 | BERTOLINA | NULL | NULL | 12030448230 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11954483033 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 12793 | LAMINA BISTURI N 20, 22 E 24 UN | 0.0000 | 0.6661 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 19119 | SERINGA DESC 01 ML (INSULINA) UN | 0.0000 | 0.3074 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c6ef9b3a938dcace584e8507498ac36c | ANA | NULL | NULL | 12018723531 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.2092 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6688 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7592 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bbbbd749836ed69dd02432038ff2ac0 | LOURDES | NULL | NULL | 12015227745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1794 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9821 | 0.4279 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1263 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 2.5000 | 2.0350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2491 | 0.0809 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1256 | 0.0544 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0480 | 0.1420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a852755304cbebe196d8caebb304f112 | TEREZINHA | NULL | NULL | 11982982741 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad2301bbf91fe6897e1b80657cb18e9d | DALVA | NULL | NULL | 11904301446 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2480 | 0.0820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7700 | 0.7665 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c24ace913fe8bfd192238b4459ada576 | CLAUDIO | NULL | NULL | 12021289841 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6130 | 0.5970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4875 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d8c9baf941fae27e2600f6494370bea4 | ITAMAR | NULL | NULL | 12016980146 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1300 | 0.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 84807423c261a8d5380ea1f938c3fe72 | LUIZ | NULL | NULL | 12047211440 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00184 | CLORETO DE POTASSIO 10% 10 ML SI IV AP | 0.3000 | 0.2967 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.1476 | 0.1224 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6926 | 0.3374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6926 | 0.3374 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6050 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2800 | 0.1484 | 0.1316 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2190 | 0.4510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5890 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.0740 | 1.5360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 12.4000 | 4.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ce613f65dcc4811b1f4172d1a9efcedb | DELSITA | NULL | NULL | 11967855646 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.3300 | 0.9980 | 0.3320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.1900 | 2.1896 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 17.8100 | 17.8099 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.7700 | 0.7620 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2473 | 0.2627 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.5838 | 0.3362 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 1.1878 | 0.2522 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.7919 | 0.1681 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 1.8600 | 1.1600 | 0.7000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3210 | 0.0790 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 3.3997 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7695 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.9586 | 0.9814 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3671 | 0.0329 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.6100 | 0.6081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.4150 | 0.1750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 20010141 | Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores | 137.7500 | 91.8300 | 45.9200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 592bc622df1ed32b44ac56bbd23f14bd | BENEDITA | NULL | NULL | 12030236248 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.1300 | 0.1294 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0badc02f1c4383ec4ed96307c60c54bb | CASSIA | NULL | NULL | 12023958646 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 84807423c261a8d5380ea1f938c3fe72 | LUIZ | NULL | NULL | 12045431310 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 9b9a360f3023b0496a4f631207efff35 | ANNA | NULL | NULL | 12058231414 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | bf7b1b2f65912cc26a11954ac8c79ef5 | ND | NULL | NULL | 12055332413 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | fa1a2e5c26ea41fe4b71f29cbd6c69e0 | PEDRO | NULL | NULL | 12062405716 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 3bf00099d9b0bee0839864408fd19682 | GERALDINE | NULL | NULL | 12061888510 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 33412c768076658c2408f8cf398e8059 | IRACILDA | NULL | NULL | 11996487018 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6923ee7d984213a5e5a666635fc793f7 | MARCIEL | NULL | NULL | 11999893914 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 11993077910 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | a9b1dde9b36eab5f8cd2f38da139eedb | NEIDE | NULL | NULL | 12011536116 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 11999094711 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 191c3bbfae3d1165b382fc3d86e1d427 | INACIO | NULL | NULL | 12076120413 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | ed212a6dc6e7b01def15359b2b35482b | ESMERALDA | NULL | NULL | 11995798612 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 6d1f14f3ff88eb9505022717f4a37ce3 | SEBASTIAO | NULL | NULL | 12002875514 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 9114d3d07c8ddd580e6aa9e6de9413a8 | ROSALIA | NULL | NULL | 12010845716 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 2d83f6622d91d4bd3b5a5dcad56f3363 | SIRLEY | NULL | NULL | 12077581110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 739226c5a7fb08d5b14a4866f2a25cef | DANILO | NULL | NULL | 12011526414 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 5cb8acec08495318d2d1c6ec0d7b2952 | MARIA | NULL | NULL | 12047468210 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 2174af77ddf8522a9df5f5ad05798a0a | SYLAS | NULL | NULL | 12058311112 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 35.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51708 | Dieta Hipercalorica Hiperproteica Sem Fibras 1.5 kcal | 46.2400 | 41.8406 | 4.3994 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51584 | ESPARADRAPO MICROPORE | 0.2700 | 0.2360 | 0.0340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5020 | 0.0980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2510 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2510 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 40.5600 | 33.7970 | 6.7630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.1488 | 0.7512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.1488 | 0.7512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.1488 | 0.7512 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00125 | LUVA CIRURGICA UN | 1.4500 | 1.0744 | 0.3756 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6900 | 1.6140 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51241 | AGULHA 123X45 | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3525 | 0.0475 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3537 | 0.0463 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 37.9900 | 37.9870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 23.9499 | 2.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 23.9499 | 2.1801 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.5123 | 0.0077 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.5123 | 0.0077 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 53051 | POLIPROPILENO AZUL MONOFILAMENTO Cardiovascular Aco 300 | 54.9200 | 54.9197 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5240 | 0.0760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2620 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2620 | 0.0380 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5600 | 0.5293 | 0.0307 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5500 | 0.5198 | 0.0302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.2930 | 0.0170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.4586 | 1.1514 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00031 | AGULHA DESC 13 X 45 UN | 0.6700 | 0.3192 | 0.3508 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.3700 | 0.2400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 140.5461 | 26.3539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 70.2730 | 13.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 1.2800 | 0.6500 | 0.6300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2590 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2570 | 0.0430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5790 | 0.8710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.5830 | 0.8670 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3200 | 0.3150 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8320 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3490 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8940 | 0.7760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.8940 | 0.7760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.5350 | 0.4650 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010911642 | 51241 | AGULHA 123X45 | 0.6400 | 0.6390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 25722 | OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA | 19.5800 | 19.5771 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.6000 | 0.2713 | 1.3287 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7490 | 0.2510 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 432841c097a31ed8079f5a76c9bb2dea | SANDOVAL | NULL | NULL | 11829315940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0920 | 0.1680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0098 | 0.0402 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 1.2566 | 2.5134 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.2570 | 0.0730 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 3.1860 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2100 | 0.0900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 4.7700 | 2.3844 | 2.3856 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.1266 | 0.3234 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 22171 | ATADURA CREPOM 10 CM UN | 0.7900 | 0.0000 | 0.7900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.8000 | 0.1700 | 1.6300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0600 | 0.5400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.9200 | 1.0935 | 0.8265 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.8201 | 0.6199 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2733 | 0.2067 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1777 | 0.0023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2461 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 11.8800 | 11.8784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.5090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.2000 | 1.0940 | 0.1060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2730 | 0.0270 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.1200 | 0.1180 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0400 | 0.0700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 06470 | BAMIFILINA 300 MG DG VO UN | 1.1100 | 1.0500 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01610 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.4900 | 0.4879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.8000 | 0.0000 | 0.8000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8038 | 0.0062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3969 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.3400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7320 | 0.2680 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.7870 | 0.9430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.7870 | 0.9430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.7870 | 0.9430 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 3.2300 | 3.2000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.8000 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.8000 | 0.2660 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 17252 | LIDOCAINA 2% GE OU TP GR | 2.5900 | 1.2970 | 1.2930 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2800 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3520 | 0.2480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3520 | 0.2480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.3520 | 0.2480 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1760 | 0.1240 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 0.0000 | 20.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5200 | 0.2670 | 0.2530 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.7192 | 0.8908 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7665 | 0.0035 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4740 | 0.1960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.5960 | 0.0740 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.8500 | 0.8400 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2130 | 0.0870 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51419 | FILTRO DE BARREIRA | 24.0000 | 0.0000 | 24.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.5800 | 0.5700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.3700 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 00091 | SERINGA DESC 01 ML (INSULINA) UN | 0.3100 | 0.3073 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1930 | 0.3370 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 51584 | ESPARADRAPO MICROPORE | 0.5200 | 0.1700 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.2800 | 0.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | be3a1c0c3b5098d0cf1e36f17468f3e5 | JOSE | NULL | NULL | 12057341940 | 52982 | FIO MONONYLON 3-0 C/ AGULHA 2,4 3/8 163T EV | 6.6900 | 6.6870 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8200 | 0.8188 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6868 | 0.0032 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.3453 | 0.4647 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.1705 | 0.2295 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0200 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.5769 | 0.3831 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2884 | 0.1916 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 1.0700 | 0.3280 | 0.7420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5400 | 0.1650 | 0.3750 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7dcba74948f31e6ba36ad180ffb96a08 | CLAUDINE | NULL | NULL | 12045446644 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7840 | 1.1560 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00171 | SORO FISIOLOGICO 0,9% 250 ML SI IV BS | 3.9400 | 2.7852 | 1.1548 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 27.9840 | 13.9960 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 02224 | DOBUTAMINA 250 MG 20 ML SI IV AP | 41.9800 | 27.9860 | 13.9940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00170 | SORO GLICOSADO 5% 250 ML SI IV BS | 3.4000 | 2.7608 | 0.6392 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2783 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7664 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.6660 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2805 | 0.0495 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6754a875500788d12733773c12ef63c2 | JOAO | NULL | NULL | 12045498730 | 10634 | GLICOSE 50% 20 ML SI IV AP | 0.0000 | 1.0678 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11912505745 | 00426 | AGUA BIDESTILADA 10 ML SI IV IM AP | 0.0000 | 0.8078 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 05444 | CLORETO DE POTASSIO 15% 10 ML SI I | 0.0000 | 1.0293 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 29840 | ETOMIDATO 2 MG/ML 10 ML SI IV AP | 0.0000 | 16.1771 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 55913 | CISATRACURIO 10 MG 5 ML SI IV FR | 0.0000 | 180.7980 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b9051b6a160b9dbed6250c236b59f840 | IRACI | NULL | NULL | 11964429248 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 33227 | LUVA CIRURGICA UN | 0.0000 | 1.4475 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 10626 | GLICOSE 50% 10 ML SI IV AP | 0.0000 | 2.1896 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | fd482ff00765795c463769d80fa56877 | EMIVAL | NULL | NULL | 11827857349 | 22756 | LIDOCAINA 2% S/ VASO SI PE ML | 0.0000 | 2.0550 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b2c94d06e988215745457412c3e0fdf7 | ELNA | NULL | NULL | 11995506440 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | c5b1a747bd1550880bfb5695a7641f7d | ELEONORA | NULL | NULL | 12055992530 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 33936 | CEFTRIAXONA IV 1G + DIL. 10 ML PO | 0.0000 | 54.1292 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 50644 | MORFINA 10 MG/ML 1 ML SI IM IV PE | 0.0000 | 2.6390 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 20362 | SONDA URETRAL N 10 UN | 0.0000 | 0.4265 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 19755 | SONDA FOLEY 2 VIAS Nş 14 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 24538 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J | 0.0000 | 18.1366 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.2400 | 0.2000 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0500 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.5561 | 0.8539 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1276 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1110 | 0.1490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6110 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3192 | 0.0108 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1522 | 0.0278 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1647 | 0.0253 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4510 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1450 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8697 | 0.0903 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 02246 | HIDROCORTISONA 100 MG PO IM IV FA | 5.6700 | 5.6696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01611 | CLORETO DE POTASSIO 600 MG CA VO UN | 0.9800 | 0.9750 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 1.1973 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.4090 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.4760 | 0.1940 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.4000 | 0.3970 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4070 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2770 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2770 | 0.2330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1752 | 0.0048 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 000501 | OXIGENIO | 215.7600 | 163.6380 | 52.1220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b03e27dedd70fa6b769b7f03c0113d70 | LETICIA | NULL | NULL | 12030213842 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.6760 | 0.5340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00371 | PARACETAMOL 500 MG + CODEINA 30 MG CP VO UN | 2.9500 | 2.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 2.8800 | 0.1498 | 2.7302 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.0749 | 1.3651 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.0749 | 1.3651 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 1.4400 | 0.0749 | 1.3651 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.0249 | 0.4551 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 24082 | BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP | 8.2000 | 8.1960 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 1.2000 | 0.0000 | 1.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 1.3314 | 1.0886 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 2.4200 | 1.3314 | 1.0886 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.2207 | 0.1793 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00111 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5300 | 0.3256 | 0.2044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2168 | 0.0532 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 60bb1221d383a6f21a877d9948a58c8d | LINDAURA | NULL | NULL | 12016611044 | 20672 | SORO RINGER SIMPLES 500 ML SI IV | 0.0000 | 5.9383 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | f34d6de69c60ac524337ab75bc67d951 | LAURA | NULL | NULL | 11978562437 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 12742 | LACTULOSE 667 MG/ML XP VO ML | 0.0000 | 4.2880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 2.5876 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.0266 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 12030423536 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 2.3995 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ad09a92a595051136c3c3f31a6cf5c3e | JOSE | NULL | NULL | 11902750846 | 07528 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 0.0000 | 12.8679 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 19518 | SOLUÇAO DE GLICERINA 12% 500 ML SL | 0.0000 | 4.4281 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4c75b48fb02c247ba5112f264e5247f1 | JOAO | NULL | NULL | 12048857142 | 19151 | SERINGA DESC 10 ML UN | 0.0000 | 0.6662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954078238 | 52582 | CATETER OXIGENIO TIPO OCULOS UN | 0.0000 | 0.9992 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 19763 | SONDA FOLEY 2 VIAS Nş 16 UN | 0.0000 | 3.8174 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978293132 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978293132 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00922 | AMINOFILINA 24 MG/ML 10 ML SI IM I | 0.0000 | 0.6685 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 31828 | PREDNISONA 20 MG CP VO UN | 0.0000 | 0.7480 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7937dea30c97f54555bd89e2bd72e20c | EVANDRO | NULL | NULL | 11990183848 | 27596 | TIRA TESTE PARA GLICOSE UN | 0.0000 | 5.1752 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 07390 | DOBUTAMINA 250 MG 20 ML SI IV FR | 0.0000 | 41.9770 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 19160 | SERINGA DESC 20 ML UN | 0.0000 | 0.5380 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5b49d2f04c1e65fdce66f2a09bc65ad3 | ESTELINA | NULL | NULL | 11954125730 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2300 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4061 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2407c39e2c6fb29e82e9e93a826e1705 | JESUS | NULL | NULL | 11820400146 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.2093 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5884 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00124 | LUVA CIRURGICA UN | 11.5800 | 5.1400 | 6.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 832dbc2b2a457c6dea0754ff4a93911e | DARI | NULL | NULL | 12043071548 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.5477 | 0.1023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 24234 | ONDANSETRONA 2 MG/ML 4 ML SI IV AP | 13.5300 | 10.1400 | 3.3900 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00124 | LUVA CIRURGICA UN | 2.9000 | 2.0293 | 0.8707 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.2220 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 19216 | SEVOFLURANO 1 ML/ML (100%) SL IN M | 0.0000 | 201.2000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 201007 | TAXA DE SALA PORTE VI | 0.0000 | 0.0000 | NULL | PROCEDIMENTO REALIZADO DIFERENTE DO | 0404 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 25208 | CORDA GUIA 0,35 (CONVENCIONAL OU HI | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 999999 | DESPESAS HOSPITALARES DIVERSAS | 0.0000 | 0.0000 | 0.0000 | PROCEDIMENTO MULTIPLO COM PROCEDIME | 0413 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 32719 | CEFAZOLINA 1 GR + DIL. 10 ML FA | 0.0000 | 48.7650 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.2777 | 0.2023 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.1410 | 0.3890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00406 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 24481 | MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS | 129.8500 | 129.8467 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7110 | 0.2890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1500 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 13.7800 | 2.7500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3739 | 0.0261 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f71df7e605273bd2290342f8bdabc455 | DELTON | NULL | NULL | 12003574847 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01603 | GLICOSE 50% 10 ML SI IV AP | 2.7400 | 2.7370 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.0676 | 0.3424 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 1.2000 | 0.7982 | 0.4018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.2270 | 0.2830 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2457 | 0.2643 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2457 | 0.2643 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0961 | 0.0939 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.0961 | 0.0939 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4910 | 0.0490 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 9.4700 | 7.1055 | 2.3645 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 0.6240 | 1.0460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ddc11f0c6d65415e11d0e47e4df5595d | ANSELMO | NULL | NULL | 12002062746 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 8.2600 | 8.2700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.4000 | 0.2000 | 0.2000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 1.3700 | 1.3666 | 0.0034 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6882 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8164 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 104.5100 | 83.6050 | 20.9050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.9000 | 0.6820 | 0.2180 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3055 | 0.0245 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.5100 | 0.1470 | 0.3630 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31c967637470134b6795a2a50201a704 | GERSON | NULL | NULL | 11978335840 | 54524 | CLOREXIDINA SL BU TP ML(bucal) | 0.2200 | 0.1700 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982426530 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4074 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1784 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.3000 | 0.1900 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4470 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.0300 | 0.0270 | 0.0030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0200 | 0.6724 | 0.3476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0200 | 0.6724 | 0.3476 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0500 | 0.6921 | 0.3579 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7681 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00098 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1430 | 0.1170 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6863 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 746eeaebe2f62a37d1e90b723720acb8 | JOAO | NULL | NULL | 11927294843 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.3540 | 0.1760 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.1700 | 0.1690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.0300 | 0.0292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.2189 | 0.3711 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0100 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8950 | 2.8950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 20010010 | Eletrocardiograma - Ecg | 16.5300 | 12.4000 | 4.1300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1600 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.5400 | 0.3486 | 0.1914 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2550 | 0.0450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0300 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 51660 | BROMETO DE IPRATROPIO SL IN GT | 0.6000 | 0.0000 | 0.6000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1194 | 0.1406 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4654 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 02355 | AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML | 36.4700 | 36.4654 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11985663340 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.2600 | 0.2554 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ffe783fdce0e480ec2422b2721abc528 | CLAUDUAVIS | NULL | NULL | 12013422446 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.2700 | 0.9400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bde24af2cf7e7771a7a8d3032d7c1c4c | JUSTINO | NULL | NULL | 11864667748 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0100 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 3fb8ac7d91d4af501e2c3c32445e96a1 | GLAYDSON | NULL | NULL | 11998713842 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1781 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 55344 | REMIFENTANIL 2 MG PO IV ML | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 55107 | MORFINA 0,2 MG 1 ML SI IV PE IT FR | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 29661 | NOREPINEFRINA 2 MG/ML 4 ML SI IV A | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 000435 | TAXA DE RESPIRADOR A VOLUME (MAI) | 0.0000 | 1654.6030 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 25030019 | DISTURBIOS CIRCULATORIOS ARTERIO VE | 0.0000 | 149.0216 | NULL | NAO CONFORMIDADE TECNICA NO PROCEDI | 0419 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c55205bb9a3e9b1f061210722cf70abd | DIVINA | NULL | NULL | 12056840749 | 00590 | AGULHA DESC 30 X 7 - 40X12 UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c55205bb9a3e9b1f061210722cf70abd | DIVINA | NULL | NULL | 12056840749 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 29742 | CATETER PIGTAIL - TODOS UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cc4faa7c6930145e2284c604736255dc | MARIA | NULL | NULL | 12023818547 | 25291 | INTRODUTOR HEMAQUE 5F A 9F UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6db631daa9f996f4766332e59b71296f | UBIRAJARA | NULL | NULL | 11968192940 | 08648 | ESPARADRAPO 10 X 4.5 CM CM | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 571b0169b9eb8bb6b1bb6cbebc8f2765 | MARIA | NULL | NULL | 11892609049 | 17310 | IODOPOVIDONA ALCOOLICA SL TP ML | 0.0000 | 1.2000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 19178 | SERINGA DESC 60 ML UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 01740 | ATADURA CREPOM 15 CM UN | 0.0000 | 0.0000 | NULL | MAT/MED COBRADO EM EXCESSO,NAO PRES | 0306 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 01300 | MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP | 2.6400 | 2.6380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 0.9500 | 0.9480 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ba7413d35587109133e667ae05bbe9a8 | LUZINETE | NULL | NULL | 11969398841 | 00341 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6500 | 0.6497 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1779 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00124 | LUVA CIRURGICA UN | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00124 | LUVA CIRURGICA UN | 5.7900 | 2.8930 | 2.8970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9395 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9394 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 52.2500 | 52.2456 | 0.0044 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.3200 | 0.6400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 53070 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV | 18.1400 | 13.1285 | 5.0115 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.4200 | 0.2700 | 0.1500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.2672 | 0.4028 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.2310 | 0.0690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 0.6048 | 0.6052 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f6a88751a873096f22be24fd5fc704ca | JOSE | NULL | NULL | 12021150645 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.8000 | 0.4020 | 0.3980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9e179ac7ea3c6c520c7403519166491e | AMERICO | NULL | NULL | 11953815442 | 49093 | AGULHA P/ RAQUI 25G X 3,5 UN | 0.0000 | 13.2584 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 23914 | SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV | 0.0000 | 2.4852 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 855c9ae439842933d8f3cb12c2eb05d6 | LUCIENE | NULL | NULL | 11927051943 | 20370 | SONDA URETRAL Nş 12 UN | 0.0000 | 0.7558 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978377635 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 2ef4d9c78ed6aa9a2d7db40108c81391 | LUCIMAR | NULL | NULL | 11978377635 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 6e4bae6e40b4bd98b462852dc858e83b | LUKA | NULL | NULL | 11590924545 | 57908 | SORO RINGER COM LACTATO 500 ML SI | 0.0000 | 31.6668 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 900fc9d8da41be20a01303c7d3035200 | MARA | NULL | NULL | 12025676039 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 50385 | CETOPROFENO 100 MG PO IV FA | 0.0000 | 7.7768 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 18988 | SCALP (TODOS) UN | 0.0000 | 0.3971 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 00469 | AGUA BIDESTILADA 250 ML SI IM IV | 0.0000 | 5.7880 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 11193 | CLOREXIDINA 2 % ST TP ML | 0.0000 | 0.2660 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | ff40783697b358e48e5d5290a6c13bc9 | MARIANA | NULL | NULL | 12014379949 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.2560 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11981598235 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 17892 | NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I | 0.0000 | 0.7669 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 1e8df68ae0dc72a4bcd494bc22cfe767 | PRISCILA | NULL | NULL | 12061972838 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 5834f1e54affc1116b2a390c341efeb9 | RONALDO | NULL | NULL | 12041987430 | 00817 | ALGODAO HIDROFILO BOLINHA UN | 0.0000 | 0.1280 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 20923 | SULFATO DE MAGNESIO 500 MG/ML 10 ML | 0.0000 | 1.3573 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1bb30f29603d594b6896af9affae1ebb | WILLIAM | NULL | NULL | 11924016243 | 53660 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE | 0.0000 | 1.5884 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7770 | 0.2230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0ce5ea480046a53ca698fd09822b1a09 | ABADIA | NULL | NULL | 11996404946 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b382111d746bd33c42d61c496763b34a | MARIA | NULL | NULL | 11954336646 | 18716 | RISPERIDONA 1 MG CP VO UN | 1.0000 | 0.9930 | 0.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 33162 | NISTATINA CV VG GR | 0.0900 | 0.0851 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b0af1441155e258513e760b12a462dc | SEBASTIAO | NULL | NULL | 11985592140 | 33162 | NISTATINA CV VG GR | 0.0900 | 0.0851 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.8550 | 0.1450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2700 | 0.2663 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 1.4000 | 0.7880 | 0.6120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.2580 | 0.5120 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 51208 | SORO RINGER SIMPLES 500 ML SI IV BS | 5.9400 | 5.9384 | 0.0016 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 689a467b39e9d684cc437491552b13f8 | ANA | NULL | NULL | 11953973343 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7c810c167971b121f8c00eee34222053 | ITRAJANES | NULL | NULL | 11976015940 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 0.6900 | 0.6895 | 0.0005 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.7480 | 0.2520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7b4a343d6550503e701ae4ed6d228580 | ANA | NULL | NULL | 11988641848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954078238 | 00097 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d9e94ba3838667538b8a8b988b647893 | MARIA | NULL | NULL | 12006789844 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3498 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3250 | 0.2150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3210 | 0.2190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3210 | 0.2190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.3210 | 0.2190 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 0.9580 | 0.6520 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6661 | 0.3339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.6661 | 0.3339 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 85e418a8531e47d1db0f0b5957c29ade | LUCIA | NULL | NULL | 12011330040 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.6660 | 0.3340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00090 | SERINGA DESC 20 ML UN | 3.2300 | 3.2190 | 0.0110 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1782 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1776 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4930 | 0.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.4930 | 0.1770 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2200 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 11325 | EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN | 1.5900 | 1.5880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d81c8a442997ec5b2cc65f1b57e65d7e | WALDEIA | NULL | NULL | 11785907745 | 27042 | CLOREXIDINA 2 % ST TP ML DEGERMANTE | 0.2700 | 0.2680 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0780 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4079 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 6.8200 | 6.8159 | 0.0041 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5494 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1270 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 556226dd3b98f584a4086b21ad3e8a15 | MARIA | NULL | NULL | 12056513932 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.1000 | 0.0920 | 0.0080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 00124 | LUVA CIRURGICA UN | 1.4500 | 0.7237 | 0.7263 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.6000 | 0.5400 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 1.9820 | 0.3580 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.4989 | 0.1011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9940 | 0.4160 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9908 | 0.4192 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0260 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 08306 | Sinvastatina 20mg Cp. | 0.3500 | 0.2900 | 0.0600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55279 | TRAMADOL 50 MG 1 ML SI IM IV AP | 4.1900 | 3.9610 | 0.2290 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 01004 | FUROSEMIDA 40 MG CP VO UN | 0.2700 | 0.2200 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f36ad1ed78eca21f7d0789a3424c8f58 | JOAQUIM | NULL | NULL | 12041728644 | 55272 | MITRIPTILINA 25 MG CP VO UN | 0.3500 | 0.2645 | 0.0855 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 4fbe3d29e931fb4af3c294d9be66d511 | JOSE | NULL | NULL | 11958011139 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3100 | 0.3069 | 0.0031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 20.2785 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 0.3300 | 0.3298 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 0.6700 | 0.6697 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00069 | SERINGA DESC 10 ML UN | 1.0000 | 0.9996 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 2.0594 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 2.0594 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 00342 | DIPIRONA 500 MG/ML 2 ML SI IM IV AP | 2.0600 | 2.0594 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 25724 | ESOMEPRAZOL MAGNESIO 40 MG CP CP | 9.7300 | 5.3070 | 4.4230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 30756464275c586869b610c9e9bfdd19 | MARIA | NULL | NULL | 12015059040 | 25724 | ESOMEPRAZOL MAGNESIO 40 MG CP CP | 9.7300 | 5.3070 | 4.4230 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00501 | DRAMIN B6 DL (DIMENIDRINATO + PIRIDOXINA + GLIC. | 2.2100 | 1.7100 | 0.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | b520609e5426d9085fc2203a28d9e908 | NILZA | NULL | NULL | 11984859845 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2550 | 0.0050 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 12025557637 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 12025557637 | 08664 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.0000 | 0.7680 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043850 | 6bad1603a55f05e96b03b6d8808fd7a9 | SAMUEL | NULL | NULL | 12025557637 | 32891 | EQUIPO POLIFIX 2ş VIAS UN | 0.0000 | 2.5492 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 11363 | ESCOPOLAMINA 20 MG/ML 1 ML SI IM I | 0.0000 | 2.0478 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 8c9c663f3b85d6342c774f2ed8d72521 | TEREZINHA | NULL | NULL | 12048675248 | 00035 | ABOCATH (CATETER INTRAVENOSO) N. 14 | 0.0000 | 3.7662 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12063872644 | 07269 | DIPIRONA 500 MG/ML 2 ML SI IV IM | 0.0000 | 0.6863 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 31569 | PROPRANOLOL 40 MG CP VO UN | 0.1600 | 0.1560 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 33286 | VANCOMICINA 500 MG 10 ML PO IV FA | 38.4800 | 38.4764 | 0.0036 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1410 | 0.3690 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1390 | 0.3710 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | d337f19fab083a8329c420d4d927370d | LUZIA | NULL | NULL | 12025355945 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4390 | 0.1010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4370 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51379 | SERINGA DESC 05 ML UN | 0.1900 | 0.1600 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 0cb7596e52e565621f9ca92e8eb2bee9 | EULA | NULL | NULL | 11982775343 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1490 | 0.0310 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1322 | 0.0578 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.2644 | 0.1156 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1400 | 0.1600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 1.8000 | 0.8300 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0300 | 0.6300 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 00095 | ABOCATH N 14 A 22 UN | 3.7700 | 2.5108 | 1.2592 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.0630 | 0.1970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51588 | ESPARADRAPO MICROPORE 50 X 10 CM CM | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.1240 | 0.3860 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.1880 | 0.5820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.1880 | 0.5820 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4094 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7210 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7210 | 0.0890 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 1.2100 | 1.0770 | 0.1330 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.9600 | 0.8876 | 0.0724 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1c3421ec88fc89e9933e404cc9508f81 | LUCIA | NULL | NULL | 12005413442 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.1800 | 0.1300 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5876 | 0.0024 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1778 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.3800 | 0.3755 | 0.0045 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5300 | 0.5280 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 51457 | LIDOCAINA 2% S/ VASO SI PE SC ML | 0.2100 | 0.1070 | 0.1030 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1278 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4080 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 11968887840 | 01583 | NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP | 0.7700 | 0.7689 | 0.0011 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00757 | CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA | 26.1300 | 26.1288 | 0.0012 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.1680 | 3.2420 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 0.1630 | 3.2470 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3022 | 0.0978 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 2e6cf41997b9487099ac1a48a049bd74 | ELIANE | NULL | NULL | 11953892049 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 2.3672 | 2.3628 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3454 | 0.0046 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2900 | 0.2440 | 0.0460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5400 | 0.4520 | 0.0880 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 00181 | SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV | 1.9000 | 1.8957 | 0.0043 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a6bb794b64b798309da18f2212ac7e74 | FRANCISCO | NULL | NULL | 11983162543 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25030019 | Distúrbios Circulatórios Artério - Venosos e Linfáticos | 11.4600 | 10.6900 | 0.7700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 22.9260 | 1.6340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 25040014 | Fisioterapia Respiratória - em Doente Clínico Internado | 24.5600 | 22.9260 | 1.6340 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5897 | 0.0003 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | deda9bf67a513fa83ac40dfdce730038 | DURVAL | NULL | NULL | 12041820445 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 10.3500 | 10.3491 | 0.0009 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5300 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2500 | 0.2800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0150 | 0.0150 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | f2b00b4a8da08ab6968964799ef40777 | MARIA | NULL | NULL | 11978513147 | 02254 | METILPREDNISOLONA (SUCCINATO SODICO) 500 MG + DIL | 48.5700 | 48.5690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51241 | AGULHA 123X45 | 0.3800 | 0.0000 | 0.3800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 00128 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.9980 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 02e01063fbbffdd6b40e121f7482d059 | IDEIDES | NULL | NULL | 11831104245 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 2.8950 | 2.8950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5879 | 0.0021 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51589 | ESPARADRAPO 10 X 4.5 CM CM | 0.8000 | 0.6020 | 0.1980 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51584 | ESPARADRAPO MICROPORE | 0.2600 | 0.1800 | 0.0800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 1.9229 | 0.5471 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 83.4500 | 83.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 166.9000 | 166.8985 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 07802 | PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA | 333.8000 | 333.7971 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51659 | FENOTEROL 2 MG/ML 10 ML AE IN DS | 0.6800 | 0.0000 | 0.6800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 01002 | FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP | 0.6000 | 0.5986 | 0.0014 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1040 | 0.3060 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.1038 | 0.3062 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 9.3023 | 0.9177 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 10.2200 | 9.3023 | 0.9177 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 20.4500 | 18.6137 | 1.8363 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 4.0800 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51164 | AGUA BIDESTILADA 500 ML | 6.4300 | 6.4285 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 54678 | LANTUS | 0.2000 | 0.1900 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51584 | ESPARADRAPO MICROPORE | 0.7700 | 0.3300 | 0.4400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3100 | 0.1700 | 0.1400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 26981 | SORO FISIOLOGICO 0,9% 10 ML SI IV AP | 0.4800 | 0.3739 | 0.1061 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | df4714f2043768130bd8fc1697987b05 | JOSE | NULL | NULL | 12010845940 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 53070 | FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J186H EV | 18.1400 | 18.1367 | 0.0033 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5894 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5881 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1762 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 5.1800 | 5.1762 | 0.0038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5380 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1774 | 0.0026 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00037 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1900 | 0.1873 | 0.0027 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.0000 | 0.3300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.0000 | 0.0000 | 1.0000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 01062 | CATETER OXIGENIO TIPO OCULOS UN | 1.0000 | 0.9992 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00111 | ABOCATH N 14 A 22 UN | 11.3000 | 4.8398 | 6.4602 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51590 | ABAIXADOR DE LINGUA UN | 0.0300 | 0.0000 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 51590 | ABAIXADOR DE LINGUA UN | 0.0500 | 0.0000 | 0.0500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2585 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 89de482562e5b7e018a649729f8beffb | MARGARIDA | NULL | NULL | 11968995641 | 00943 | EQUIPO POLIFIX 2 VIAS UN | 2.5500 | 2.5494 | 0.0006 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.1500 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00124 | LUVA CIRURGICA UN | 1.4500 | 1.4475 | 0.0025 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 35382 | COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN | 0.3000 | 0.1960 | 0.1040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.5500 | 0.1200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 1.6700 | 1.3730 | 0.2970 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2100 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2100 | 0.3000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 51475 | FUMARATO DE QUETIAPINA 25 MG CA VO UN | 1.2500 | 1.2471 | 0.0029 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 54687 | IODOPOVIDONA SD TP ML | 0.4000 | 0.1700 | 0.2300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 05c161dddc1d8ddc816feec5f733e360 | CARIDADE | NULL | NULL | 11980078740 | 54687 | IODOPOVIDONA SD TP ML | 0.6000 | 0.2500 | 0.3500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2578 | 0.2522 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 22421 | PIPERACILINA 2 G + TAZOBACTAM 250 MG 30 ML PO IV | 55.3400 | 55.3382 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4218336ef8a02906ffec4f9cf24d1db1 | LENIR | NULL | NULL | 12006852349 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4082 | 0.0018 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.2600 | 0.2580 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cd4219d50787ada8c815bd2d69c2f95c | NAIM | NULL | NULL | 11983083940 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51230 | AGULHA DESC 30 X 7 - 40X12 UN | 0.1800 | 0.1760 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51584 | ESPARADRAPO MICROPORE | 0.5100 | 0.2780 | 0.2320 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3000 | 0.1677 | 0.1323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.3000 | 0.1677 | 0.1323 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 752a8cf8f0c71e9bf232856a31daf371 | NEUSA | NULL | NULL | 11971829544 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0300 | 0.0090 | 0.0210 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 2.5900 | 2.5883 | 0.0017 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | bf55d65ece6508c746cda43a6da0ef8c | WEDSON | NULL | NULL | 12010887340 | 51240 | FITA ADVANTAGE P/ GLICOSE UN | 7.7600 | 7.7551 | 0.0049 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51378 | SERINGA DESC 03 ML UN | 0.1500 | 0.1300 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.4860 | 0.0540 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 0.9720 | 0.1080 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.4490 | 0.1610 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51379 | SERINGA DESC 05 ML UN | 0.7700 | 0.5765 | 0.1935 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.1900 | 0.1860 | 0.0040 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51241 | AGULHA 123X45 | 0.3800 | 0.3730 | 0.0070 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1840 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.3300 | 0.1840 | 0.1460 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.3750 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.3750 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00127 | LUVA DE PROCEDIMENTO UNIDADE UN | 0.6700 | 0.3750 | 0.2950 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00096 | ABOCATH N 14 A 22 UN | 3.7700 | 3.7661 | 0.0039 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00220 | ELETRODO DESCARTAVEL (UTI) UN | 4.6100 | 3.0740 | 1.5360 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 2.9069 | 0.5031 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51434 | BECLOMETASONA 400 MCG / ML 2 ML SL IN FL | 4.4800 | 3.2580 | 1.2220 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 52303 | NOREPINEFRINA 2 MG/ML 4 ML SI IV AP | 9.5000 | 0.0000 | 9.5000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.4000 | 0.3462 | 0.0538 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7011 | 0.1089 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 9bd1aa00c2dafff94b749c1881ee4f37 | PEDRO | NULL | NULL | 11986265849 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 3.6815 | 1.0485 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 51162 | AGUA BIDESTILADA 10 ML SI IM IV AP | 0.8100 | 0.7138 | 0.0962 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 00480 | PROTAMINA 1000 UI/ML 5 ML SI IV AP | 2.7200 | 2.7199 | 0.0001 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 01309 | MIDAZOLAM 5 MG/ML 3 ML SI IV AP | 12.8700 | 12.8678 | 0.0022 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 099ca112a415a15677eb7ed7503c0409 | RODOLFO | NULL | NULL | 11924898645 | 03280 | CLOREXIDINA 2 % ST TP ML | 0.5300 | 0.2660 | 0.2640 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 0.5400 | 0.5390 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.0800 | 1.0790 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00090 | SERINGA DESC 20 ML UN | 1.6100 | 1.6090 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51241 | AGULHA 123X45 | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51241 | AGULHA 123X45 | 0.7700 | 0.7690 | 0.0010 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2600 | 0.2500 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00919 | ALGODAO HIDROFILO BOLINHA UN | 0.5100 | 0.2500 | 0.2600 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.3500 | 0.3493 | 0.0007 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 00033 | AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN | 0.4500 | 0.4492 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 11700 | EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL | 20.2800 | 17.5746 | 2.7054 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4ce3997b38f1ef83b714e669554f14a9 | VICTOR | NULL | NULL | 12030505847 | 51578 | Frasco p/ alimentacao enteral | 2.4700 | 2.2250 | 0.2450 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4000 | 0.4800 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 51218 | TICAGRELOR 90 MG CP VO UN | 7.7600 | 6.7900 | 0.9700 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 07181 | AAS (ACIDO ACETILSALICILICO) 100 MG CP VO | 0.1400 | 0.1100 | 0.0300 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | c2fa42d69b857d9f16c77ea836a459ba | SAULO | NULL | NULL | 12011519142 | 07181 | AAS (ACIDO ACETILSALICILICO) 100 MG CP VO | 0.1400 | 0.1000 | 0.0400 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4800 | 0.4000 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 3.8800 | 3.4700 | 0.4100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 7.7600 | 6.9400 | 0.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | a050ed50115d2a6dd0b15b99b39063da | ARI | NULL | NULL | 11995590444 | 51218 | TICAGRELOR 90 MG CP VO UN | 7.7600 | 6.9400 | 0.8200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 233.6900 | 233.6898 | 0.0002 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 1b09fe9bdbdd049c85393b11c1fe0cff | DIONILO | NULL | NULL | 11977663542 | 01577 | ALBUMINA HUMANA 20% 50 ML SI IV FA | 467.3700 | 467.3696 | 0.0004 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 33b766d8d9b1d326fddafb58eb731766 | MARIA | NULL | NULL | 12045343549 | 20885 | SUFENTANILA 50 MCG/ML 1 ML SI IV P | 0.0000 | 19.1586 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 41728e79e266e703e7c0444c2877fee6 | CESAR | NULL | NULL | 12006672841 | 13722 | BUPIVACAINA 5 MG/ML + GLICOSE 80 MG | 0.0000 | 6.2594 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 7e39df306bd500e9d6e26d91b14d79fe | PEDRO | NULL | NULL | 12001530549 | 00671 | CEFALOTINA 1 G | 4.6600 | 4.6563 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01496 | FENITOINA 50 MG/ML 5 ML SI IM IV AP | 2.3400 | 2.3270 | 0.0130 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 38.7380 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 11232 | CLEXANE (ENOXAPARINA) 40 MG SI IV SC SE | 38.9400 | 38.7380 | 0.2020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01421 | CLARITROMICINA 500 MG 30 ML PO IV FA | 117.1100 | 117.1063 | 0.0037 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 13812 | BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS | 3.4100 | 3.4081 | 0.0019 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 01582 | EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP | 0.4900 | 0.2452 | 0.2448 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00172 | SORO FISIOLOGICO 0,9% 500 ML SI IV BS | 4.7300 | 4.2262 | 0.5038 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 00737 | CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA | 54.1300 | 54.1292 | 0.0008 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51163 | AGUA BIDESTILADA 250 ML | 5.7900 | 5.7880 | 0.0020 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 31aa7f72a790fd705f3182cce3306440 | IRACI | NULL | NULL | 11954055242 | 51649 | ALCOOL ETILICO 70 % ST TP ML | 0.0600 | 0.0400 | 0.0200 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | cffc8a80bf88238854ef3013af845094 | ELY | NULL | NULL | 11939039440 | 51622 | MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR | 0.6600 | 0.5500 | 0.1100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | 940ab56b5928de49e29732d53ab298ba | LOURDES | NULL | NULL | 12056602110 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1041062 | d22b589455ec2f4abd674b4f9e21db47 | RONALDO | NULL | NULL | 12010789715 | 00010065 | CONSULTA HOSPITALAR (PRONTO SOCORRO | 0.0000 | 50.0000 | NULL | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 08eb05807f07a731551b9744d5a05c05 | FRANCISCO | NULL | NULL | 12006263340 | 40090060 | Implante de Endo - Prótese Intracoronária | 0.0000 | 0.0000 | NULL | PROCEDIMENTO MULTIPLO COM PROCEDIME | 0413 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 29b96bf1231b5079d83dc7d36f2c2077 | ODILIA | NULL | NULL | 11791566848 | 26083 | Prolopa 50/200mg Cp. | 2.1200 | 2.1100 | 0.0100 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 19401 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 19401 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |
| Glosa Min | 2018-01-26 00:00:00.000000 | 1043851 | 4744c4dcdd5d5bc01b39940a6a8c68fc | ANTONIETA | NULL | NULL | 12010926940 | 19401 | CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS | 80.1700 | 80.1685 | 0.0015 | ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO | 7700 |